HomeMy WebLinkAbout233759 06/18/14 ur,.4±x
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J`/ �� CITY OF CARMEL, INDIANA VENDOR: 359478
® t•I ONE CIVIC SQUARE HILLYARD/INDIANA CHECK AMOUNT: $*******144.43*
�`� CARMEL INDIANA 46032 P 0 BOX 672361 CHECK NUMBER: 233759
,� /�.
M��T�. KANSAS CITY MO 84187-2361 CHECK DATE: 06/18/14
ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 601158572 144.43 OTHER MAINT SUPPLIES
PLEASE DETACH AT THE PERFORATION ABOVE AND RETURN THE STUB WITH YOUR PAYMENT.IT WILL INSURE PROPER CREDITING TO YOUR ACCOUNT.
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ITEM MATERIAL DESCRIPTION QUANTITY UNIT PRICE AMOUNT
001 o PAP38006 3 CS 46.63 139.89
TOWEL ROLL WHITE 6 630 CS
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Subtotal 139.89
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Shipping 4.54
Tax Amount 0.00
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GroSS Price 144.43
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Building MainE~;ne.--
Account# 1&7 _17-00
Department#
FSUbmitted 16
ClerkTreasurer
Invoice Number 601158572 Date 05/23/2014 Purchase Order:ISA-05/13/2014
Plant 1350 Customer Number 256298 CITY OF CARMEL
HILLYARD HILL YARD IIND/ANA Invoice
P. O.Box.872361
TM CLEANING RESOURCE- Kansas City, MO 64987-2361 CUSTOMER COPY THANK YOU!
THE SELLER REPRESENTS IT HAS FULLY COMPLIED WITH THE PROVISIONS OF THE FAIR LABOR STANDARDS ACT OF 1938,AS AMENDED,IN THE MANUFACTURE OF GOODS COVERED BY THIS INVOICE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hillyard / Indiana
IN SUM OF$
PO Box 872361
Kansas City, MO 64187-2361
$144.43
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 601158572 I 42-389.00 I $144.43 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, June 16, 2014
Director, Administrati4n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
05/23/14 601158572 $144.43
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer