HomeMy WebLinkAbout244186 04/15/15 1 CITY OF CARMEL, INDIANA VENDOR: 362899
ONE CIVIC SQUARE THE BLIND MAN CHECK AMOUNT: 5"•"""171.00`
CARMEL, INDIANA 46032 13495 SHAKAMAC DRIVE CHECK NUMBER: 244186
CARMEL IN 46032 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 171.00 BUILDING REPAIRS & MA
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Previous Award The Blind Man
z01 13495 Shakamac Drive
(317) 509-5486 Carmel, IN 46032
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_ Steve Imel, owner
Date: www.theblindmanindy.com
steve@theblindmanindy.com
Customer Name: .�c". r`�- 'r�_ tr +
Address:
Email:
Ref. No.
Phone:
Quantity y f Description Price
Total Window Treatments ter!
Cleaning/Repair/Installations/Shipping <
Sales Tax 7% m-
Total 1 -71
Deposit
Balance
The above prices,specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified. payment will be made as outlined above.
Terms:Afinance charge of 11/2%per month(annual of 18%)will be charged unbalances
over 30 days.A$25.00 service charge will be added for all returned checks.Customer agrees
that in default of payment,reasonable costs of collection,equal to 50%of the delinquent
balance,and/or reasonable attorney fees maybe added to the amount due on the account.' Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Blind Man
IN SUM OF$
13495 Shakamac Drive
Carmel, IN 46032
$171.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-501.00 $171.00 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
APR 1 3 2015
p • �J W
Fire Chief
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))
$171.00
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