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HomeMy WebLinkAbout233777 06/18/14 a`! 4f. CITY OF CARMEL, INDIANA VENDOR: 360376 j ® ONE CIVIC SQUARE INDUSTRIAL MAINTENANCE SOLUTIONGHECK AMOUNT: $*******348.90* r, ?� CARMEL, INDIANA 46032 PO Box 318 CHECK NUMBER: 233777 'a;,��oN�.` WESTFIELD IN 46074 CHECK DATE: 06/18/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4238900 114795 348.90 OTHER MAINT SUPPLIES Industrial Maintenance Solutions LLC Invoice P.O. Box 318 Date Invoice# Westfield, IN 46074 5/29/2014 114795 Bill To Ship To Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel,IN 46032 Carmel,IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project Gary Carter Net 30 5/29/2014 Quantity Item Code Description Price Each Amount 6 60663 DJ Concrete Cleaner 50# 58.15 348.90T Sales Tax 0.00% 0.00 Deliver to Scott at Shelbourne//106th Phone# Total $348.90 317-753-3182 VOUCHER NO. WARRANT NO. ALLOWED 20 Industrial Maintenance Solutions IN SUM OF$ P.O. Box 318 Westfield, IN 46074 $348.90 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 114795 42-389.00 $348.90 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 .11 lk' " 14 Fire Chief 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 I Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 114795 $348.90 1 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