HomeMy WebLinkAbout236454 08/27/14 r Coq
CITY OF CARMEL, INDIANA VENDOR: 366392
ONE CIVIC SQUARE MAC'S SEPTIC LLC CHECK AMOUNT: $"'*"""250.00•
i+` CARMEL, INDIANA 46032 5829 W 10TH ST CHECK NUMBER: 236454
y�iroN�, INDIANAPOLIS IN 46224 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 17365 250.00 BUILDING REPAIRS & MA
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OUR ORDER NO. YOUR ORDER NO. SALESMAN TERMS SHIPPED VIA PPD. OR COLL.
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7ACCOUNTS 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.
366392 Mac's Septic LLC Terms
5829 W. 10th Street
Indianapolis, IN 46224
I
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
814114 17365 Septic MO xx975 $ 250.00
Total $ 250.00
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
I
Voucher No. Warrant No.
366392 Mac's Septic LLC Allowed 20
5829 W. 10th Street
Indianapolis, IN 46224
j In Sum of$
$ 250.00
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ON ACCOUNT OF APPROPRIATION FOR
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101 -General Fund
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fPo#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
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1125 17365 46350100 $ 250.00 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
21-Aug 2014
Signature
$ 250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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