HomeMy WebLinkAbout238797 11/05/14 CITY OF CARMEL, INDIANA VENDOR: 00350527
CHECK AMOUNT: $******"235.00*
•is • ONE CIVIC SQUARE DON'S AUTO TRIM
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD CHECK NUMBER: 238797
INDIANAPOLIS IN 46224 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32477 0108937 235.00 SEAT UPHOLSTERY
9103937
5397 Rockville Road • Indianapolis, IN 46224
(317) 227-0988 Office • (317) 227-0977 Fax
Customer's
Order No. / 4/05
to 2)-9d 20 Aq
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Address
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City State --�-�
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE.RETD. PAID OUT
QUAN. DESCRIPTION PRICE AMOUNT
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dAk—
ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By
0INDIANA RETAIL TAX EXEMPT PAGE
®f 1 Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
477
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
W/bM- a
Don's Aute Trim Carel Police Department
3 CIvlc,Square
' SHIP
VENDOR.397 Rockville Road TO Cart-W, IN 46032
Indianapolis, IN 46' 24 (31 i)571-25.59
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-610.0
1 Each repair drivers ,eat upholstery $235.00 $235.00
I
Sub Total: $235.00
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Car#47 Scait Bickel
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Send Invoice To: � r € .
Can-nel Pollco -
Attn: Pat Young
3 Civic squam
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
�+ �,,,� DEF4RTMENT ACCOUNT PROJECT PROJECT ACCOUNT � 'AIVlOU�NT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I.HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. \
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY —
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
® CLERK-TREASURER
DOCUMENT CONTROL NO. a® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. _
ALLOWED 20
IN THE SUM OF$
I $
r ,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
i
20
Signature
---- -' Title -
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don's Auto Trim
IN SUM OF$
5397 Rockville Road
Indianapolis, IN 46224
$235.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members �
32477
I hereby certify that the attached invoice(s), or
0108937 43-510.00 $235.00
i,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
Tuesday, October 28, 2014
Chief of Police
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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10/28/14 0.108937 - Seat repair $235.00
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