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244583 04/21/15
`y�.4�"*F CITY OF CARMEL, INDIANA VENDOR: 00352369 4: ` .i; ® �• ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $"""""776.84" CARMEL, INDIANA 46032 Po Box 409211 CHECK NUMBER: 244583 'M�rmi-. ATLANTA GA 30384.9211 CHECK DATE:' 04/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 51503366-001 776.84 REPAIR PARTS INVOICE SEND ALL PAYMENTS TO: SUNBELT RENTALS,INC. • NO51503366-001 PO BOX 409211 ATLANTA,GA 30384-9211 2806565 SUNBELTO RENTALS 4/02/15 PAGE 1 of 1 INVOICE TO RECEIVED BY CONTRACT NO. loz-Sea-1198 WILLIAMS, RON 51503366 rm CARMEL STREET DEPT PURCHASE ORDER NO. 3400 W 131 ST ST CARMEL IN 46074-8267 I�InIJIuIInJnJ�h�Iln6uhlillnl�ullln�Ilu��Ilul JOB NO. 3-CARMEL STREET DE JOB ADDRESS BRANCH CARMEL STREET DEPT - _ 3-400 W 131ST _ - _ NOBLESVILLE PC219 _ ___ WESTFIELD, IN 46074 8267 18000 CUMBERLAND RD NOBLESVILLE, IN 46060-1625 317-733-2001 317-773-1688 Qty . Item number Unit Price Amount 2 BATTERY BOX EA 245.00 490.00 110-025-141 2 BATTERY BOX LID EA 121.52 243.04 110-025-151 1 2112XXX060 PARTS INBOUND FREIGH EA 43.80 43.80 FREIGHT-INBOUND DELIVERY CHARGE SHIP TO: CARMEL STREET DEPT 3400 W 131ST WESTFIELD; IN 46074 8267' i" III Equipment© Service. Guaranteed. 776.84 REMIT TO: NET DUE UPON RECEIPT SUNBELT RENTALS, INC. • • Invoices not paid within 30 days may be subject �--' � PO BOX 409211 ATLANTA, GA 30384-9211 to a I-V2% month charge. SALES INVOICE ' ` VOUCHER NO. WARRANT NO. , Sunbelt Rentals, Inc ALLOWED 20 IN SUM OF$ 1 P. O. Box 409211 Atlanta, GA 30384-9211 $776.84 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 j 51503366-001 42-370.00 $776.84 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 6 rids 15 §jtWt&9l�l ' r Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 whom,rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee I i Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/02/15 51503366-001 $776.84 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 5-11-10-1.6 120 Clerk-Treasurer