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HomeMy WebLinkAbout245502 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 369395 ® i'I ONE CIVIC SQUARE BOB HELBER CHECK AMOUNT: S'""'"'320.00' CARMEL, INDIANA 46032 7033 S 600 w CHECK NUMBER: 245502 9M_oN PENDLETON IN 46064 CHECK DATE: 05/20/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 320.00 OTHER CONT SERVICES 17, V Contractors��✓��� ��� WORK PERFORMED AT: TO: Al P 1 c N C. r C c AV llC DATE YOUR WORK ORDER NO. OUR BID NO. DESCRIPTION OF WORKPERFORMED ro f C dL D i ry -�o In" jV l e v 11 Xe 42 Te Cr w M6, , c(ql- l �d ov A ell 44. All Material is guaranteed to be as specified,and.the above work was performed in accordance with the drawings and specifications provided for the above work and was completed in a substantial workmanlike manner for the agreed sum of Dollars($ ).'. This is a F-1 Partial ❑Full invoice due and payable by: Month Day Year in accordance with our ❑Agreement ❑Proposal No. Dated :.adams•NC3822 Month Day Year 09-11 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)) 05/15/15 $320.00 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 VOUCHER NO. - WARRANT NO. ALLOWED 20 Bob Helber IN SUM OF $ 70335 600 West Pendleton, IN 46064 $320.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 I I 43-509.001 $320.00 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 Fri. May 5, 2015 Styft.�tr�fig��44�r Title Cost distribution ledger classification if claim paid motor vehicle highway fund