240021 12/09/14 %'�,q,,f• CITY OF CARMEL, INDIANA VENDOR: 00351189
® ONE CIVIC SQUARE J & M SUPPLY CHECK AMOUNT: $*******886.00*
CARMEL, INDIANA 46032 Po Box 1184 CHECK NUMBER: 240021
CARMEL IN 46082-1184 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 24647 20154 886.00 SQUEEGEE HEADS
JA M Supply Corp INVOICE
P® Sox 1184
Carmel, IN 46082-1184 DATE ORDER NO.
( 31 7) 844-3009 12/4/2014 .20154
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
2 Carmel Civic Square 2 Carmel Civic Square
Carmel IN 46032 Carmel IN 46032
Att'n. Training Center
P.O. NO. TERMS SHIP DATE SHIP VIA FOB VENDOR NO.-
Bay Floors Net 20 12/4/2014 Our Truck Delivered
ITEM DESCRIPTION QTY UNIT PRICE B(O AMOUNT
7735-4 Squeegee Ultra Hygiene refill.dbi blade 28" red 40 22.15 0 886.00'
Order Complete Total $886.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
J & M Supply IN SUM OF$
j 1
P.O. Box 1184
Carmel, IN 46032
$886.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
24647 20154 42-390.99 $886.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the I
materials or services itemized thereon for
which charge is made were ordered and
received except
DFC 8 2014
I
Fire Chief
Title
I
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1'
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
i
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
20154 $886.00
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