246817 06/30/1 5 ;� CITY OF CARMEL, INDIANA VENDOR: 127250
d ONE CIVIC SQUARE H.H. GREGG INC CHECK AMOUNT: $*****1,689.96*
: 246817
:._ =4 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46240 CHECK DA151 E 96TH ST CHECK TE: 06/30/15
9
4',[ISN G�'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463300 0099760016 489.99 APPLIANCES
102 4463300 0099760469 1,199.97 APPLIANCES
h-h9regg GREGG APPLIANCES, INC. Order: 0136048803
4151 E. 96TH ST. Invoice : 0099760016
INDIANAPOLIS, IN 46240
(317) 848-8710
DATE 06/08/15
***** Billing Invoice **** SALESPERSON 1486
CUSTOMER NO. 010658 PURCHASE ORDER NO. STATI ON4 6
SOLD TO CARMEL FIRE DEPARTMENT DELIVER TO ATTN TONY COLLIN, STATION 46
ADDRESS ADDRESS
2 CIVIC SQUARE 540 W 136TH ST
CITY/STATE CARMEL, IN ZIP 46032 CITY/STATE CARMEL, IN ZIP 46032
PHONE PHONE
(317) 571-2600
Attn:
OTHER PHONE SPECIAL INSTRUCTIONS
Resale : 003120155-002-0
I
QTY. MODEL NUMBER DESCRIPTION PA*T ** F*R *** DEL. DEL. RICE EACH TOTAL
t0bC JK
1 WTW5.000DW- .TL-. WASHER,WHPL,_41{ _
. 3- _CU__F_T, WHITE_ _- 489 .199 - {489 . 99
)
3 i i 1 1 � _-.-� !
11 _NW.__ _- PREMIUM_ SERVI.CE_ 4PLAN-DECLINED__-__ __-- _ _._ I 0_:If 0 0 ! - - 0 . 00
_Sub.lF_Total,:l 48.9 . 99
4
i
- - - +- - - - - - - - Z . 00
4
Total . 89 . 9
_ACCOUNTS_ RECEIVABLE 489 . 99
TOTAL DUE' 489 . 99
- * Payment_
- - ---
_ Days From_. 0 6/0_$./15 - - - !
i * 30 * i
%
_
7Wne! ve inspected the above described merch-
and have found it to be in good condition.
Delivery has been completed and no damage
has occurred to our personal property.
Merchandise Received By Date
Merchandise Delivered By Date " • '
hh9re GREGG APPLIANCES, INC. Order: 0136048803
gg 4151 E . 96TH ST. Invoice . 0099760469
INDIANAPOLIS, IN 46240
(317) 848-8710
DATE 06/11/15
***** Billing Invoice **** SALESPERSON 1486
CUSTOMER NO. 010658 PURCHASE ORDER NO. STATION4 6
SOLD TO CARMEL FIRE DEPARTMENT DELIVERTO ATTN TONY COLLIN, STATION 46
ADDRESS 2 CIVIC SQUARE ADDRESS 540 W 136TH ST
CITY/STATE CARMEL, IN ZIP 46032 CITY/STATE CARMEL, IN ZIP 46032
PHONE (3 1 7) 571-2600 PHONE
Attn:
OTHER PHONE SPECIAL INSTRUCTIONS
Resale : 003120155-002-0
QTY. MODEL NUMBER DESCRIPTION [DELRRICE EACH TOTAL
1 GUD27ESSJWW COMBO WASH/DRY 27IN, GEI, ELEC,_WHT ( ' 1069 . 99l' ', 1069 . 99
I it NW PREMIUM SERVICE PLAN DECLINED 0 :00 0 . 00
__
11 E DRYER KIT ELECTRIC DRYER DELIVERY KIT149 . 99 4.9 . 99
79 .199 79 . 99
1
DS-1 - - - -_ _ _.DELIVERY
_- Sub;Total -.1 1199 . 97
{
Tax:, 0 . 00
- - - - - -
;
1 - 9 . 97
Total 119
ACCOUNTS RECEIVABLE 1199 . 97
TOTAL DUES 1, 9 . 9 7
*
Payment Due
- -----_i-
1
i
30 Days From 06/4.1/15
1
_ k
y- I
t 4
1
I
• e
lWe have inspected the above described merch-
andise and have found it to be in good condition.
Delivery has been completed and no damage
has occurred to our personal property.
Merchandise Received By Date
Merchandise Delivered By Date " • °
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
{
CITY OF CARMEL
4
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))
0099760016 $48999
0099760469 $1,199.97
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
HH Gregg
IN SUM OF $
4151 East 96th Street
Indianapolis, IN 46240
$1,689.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0099760016 102-633.00 $489.99 1 hereby certify that the attached invoice(s), or
1120 0099760469 102-633.00 $1,199.97 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund