HomeMy WebLinkAbout236007 08/13/14 �'��p" CITY OF CARMEL, INDIANA VENDOR: 00350811
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ONE CIVIC SQUARE RENEWED PERFORMANCE INC (RPI) CHECK AMOUNT: $.....**280.00*
=a, ,,_�; CARMEL, INDIANA 46032 Po Box 196 CHECK NUMBER: 236007
°j�<ron�°' TIPTON IN 46072-0196 CHECK DATE: 08/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 7138 280.00 AUTO REPAIR & MAINTEN
RENEPVEDPERF,0RAMACECOMMAT. Renewed Performance Company
PO Box 196,Tipton,IN 46072-0196 INVOICE
Carmel Fire Department Date Invoice#
Attn: Bob Vanvoorst
2 Civic Square 8/5/2014 7138
Carmel, IN 46032 NOTICE: Indiana State law requires that we must
have a sales tax exemption certificate on file from our
tax-exempt customers.If you are sales tax exempt,
please provide a tax exemption certificate before or at
the time of payment or we may have to charge you sales
tax.If you have already provided us with a tax
exemption certificate,you may disregard this notice.
PO Number Terms
Due Upon Receipt
ADDITIONAL APPROVED REPAIRS PERFORMED DURING THE REFURBISHMENT OF
ONE (1) 2002 KME FIRE TRUCK(ENGINE 40):
1. ADDED ONE (1) LED LIGHT TO THE LHS PUMP PANEL 115.00
2. REPLACED THE RHS REAR CAB DOOR WINDOW REGULATOR WITH A NEW
REGULATOR 165.00
NOTE: WE DO NOT HAVE AN INDIANA FORM ST-103 (TAX EXEMPTION FORM) ON FILE
FOR THE CARMEL FIRE DEPARTMENT. PLEASE PROVIDE A COPY TO US AT YOUR
EARLIEST CONVENIENCE. THANK YOU!
Amount Due $280.00
Phone# 7656757586 Fax# 765-675-7589 rpiinc@tiptontel.com www.rplusa.net
VOUCHER NO. WARRANT NO.
ALLOWED 20
RPI
Renewed Performance Inc.
� IN SUM OF$
P.O. Box 196 1
Tipton, IN 46074
$280.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 7138 43-510.00 $280.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
iAn 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))
7138 E40 $280.00
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