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HomeMy WebLinkAbout238178 10/15/2014 0�/ \f� CITY OF CARMEL, INDIANA VENDOR: 00350781 ® j• ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $*****""150.00* s.. ?� CARMEL, INDIANA 46032 547 E 161 ST ST CHECK NUMBER: 238178 9M�*oN WESTFIELD IN 46074 CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 1867 150.00 REPAIR PARTS Pickett's Place INVOICE 547 East f6fstStreet Invoice Number: Westfield, / 1867 N 46074 Voice: (317) 896 3271 Invoice Date: Sold To: Fax: (317) 896 2036 Sep 19,2014 Page 1 Carmel Street Department 3400 West f3fst Street Westfield, /N 46074 USA Customer ID Customer PO Shipping Method Payment Terms Due Date VERBAL MIKE IN Cust. Pickup Net 30 Days 10/19/14 Quantity Item Description Unit Price Amount MACHINED SHAFT FOR PTO 150.00 Subtotal 150.00 Sales Tax Total Invoice Amount 150.00 Check/Credit Memo No: Payment/Credit Applied TOTAL 150.00 VOUCHER NO. WARRANT NO. Pickett's Place ALLOWED 20 IN SUM OF$ 547 E. 161st St. Westfield, IN 46074 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1867 42-370.00 $150.00 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 Thursday, October 09, 2014 Stree�eMrC;IT lop ioner 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) i 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 I whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. j Terms I Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/19/14 1867 $150.00 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