241349 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 00350062
® 1 ONE CIVIC SQUARE SCOTT OSBORNE CHECK AMOUNT: $",..."375.00`
CARMEL, INDIANA 46032 19702 SIX POINTS ROAD CHECK NUMBER: 241349
SHERIDAN IN 46069 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 457664 375.00 AUTO REPAIR & MAINTEN
Scott K. Osborne N VO M E
19702 Six Points Road
Sheridan, Indiana 46069 Invoice #457664
317-371-3140
DATE: JANUARY 6, 2015
TO:
Carmel Fire Department
2 Civic Square
Carmel, Indiana 46032
Phone 317-571-2600
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SALESPERSON P.O. NUMBER REQUISITIONER SHIPPED VIA F.O.B. POINT I TERMS
Due on
Station 45 Plow
receipt
- - -------- -- �- - ------ -----
QUANTITY DESCRIPTION ( UNIT PRICE TOTAL
1 8.6 MVP Edge Kit $375.00 $375.00
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TOTAL DUE �-$375.00
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
I
hom, 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))
457664 Plow Truck-Sta. 45 $375.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Scott Osborne
IN SUM OF $
$375.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 457664 43-510.00 $375.00 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
w a N 2 0 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund