HomeMy WebLinkAbout235206 07/22/14 0+�t,Cqq*
ti CITY OF CARMEL, INDIANA VENDOR: 362955
ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS CHECK AMOUNT: $*******145.66*
® CARMEL, INDIANA 46032 PO BOX 19635 CHECK NUMBER: 235206
9M�(tUN� INDIANAPOLIS IN 46219 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 150838 145.66 EQUIPMENT REPAIRS & M
/ 2 0
JUL - 3 201
BY:
INVOTC N BER 150838
P.O. Box 19635 07/01/14
INVOI DATE
Indianapolis, Indiana 46219
(317) 322-5800 PAG 1
SOLD TO CARMEL CLAY PARKS &REC. dba MONON CTR SHIP TOVIONON CEhTTER
1411 E. 116TH STREET 1235 CENIRAL PARK DRIVE EAST
CARMEL,.iN 46032 CARMEL,IN 46032
(317) 848-7275
113022
UPS
CUSTOMER I.D.: CHOLE
SHIP VIA: 07/01/14 P.O.NUMBER:
I' SHIP DATE: O�/16/14 P.O.DATE:
DUE DATE: OUR ORDER NO:
TERMS: Net 15 SALESMAN: Dave Beck
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE AMOUNT TX
7071134966 BLADE SCRAPER 4 4 26.94 ,x
7071160500 O RING SHAFT SEAL 10 10 0.42 4.20
(SOLD ONLY IN QTY OF 10)
l
7071199032-01 DUCKBILL INLET RMT 5 5 5.59 27.95.
Invoice subtotal 136.31
eight charges 9.35
. Invoice toL145.66:)
-SIGNATURE:
I AGREE THAT EVERYI MING LISTER ON INVOICE IS ACCOUNTED FOR, UNDAMAGE , UN ESS OTHERWIS NOTED.
oov
SFS offices will �e closed Frid..Y July 4th.
Be sure to order xtra>t for the ho ldiay weeken".
WHITE COPY—SOUTHERN FOOD SYSTEMS YELLOW COPY—CUSTOMER
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
362955 Southern Food Systems Terms
P.O. Box 19635
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/1/14 150838. Repair m817 $ 145.66
Total $ 145.66
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
i
Voucher No. Warrant No.
362955 Southern Food Systems j Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of$.
$ 145.66
ON ACCOUNT OF APPROPRIATION FOR
i
109 -Monon Center j
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• I
Board Members
PO#or INVOICE NO. P%CCT#rriTLE AMOUNT
Dept#
1095-1 150838 4350000 $ 145.66 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
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16-Jul 2014
I
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Signature
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$ 145.66Accounts Payable Coordinator
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Cost distribution ledger classification if I Title
claim paid motor vehicle highway fund