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HomeMy WebLinkAbout248987 08/26/15 CITY OF CARMEL, INDIANA VENDOR: 360111 ® a ONE CIVIC SQUARE POWERS SEPTIC & SEWER CHECK AMOUNT: $'"...*350.00' CARMEL, INDIANA 46032 3288 CICERO RD 7123 CHECK NUMBER: 248987 �g,roH, NOBLESVILLE IN 46060 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 23080 350.00 OTHER EXPENSES JOWINVOICE PERMIT #799 23080 3256 CICERO RD. #23 CUSTOMERS ORDER NO. D R rEq NOBLESVILLE, IN 46062 �_P —! s 317-431-3390 ORDER TAKEN BY DATE PROMISED ❑ A.M. ❑ P.M. BILL TOPHONE r Int� e.ate r ADDRESS C/ O � MECHANIC gKUjy CITY J�J Ila � � ) I 4(n a�i HELPER J BNA E AND L CATION �3 i IZ d . Cir wie ❑ DAY WORK rL�L ❑ CONTRACT DESCRIPTION OF WORK '`1MCJ`Ct -Ijq_5Q . ❑ EXTRA Pow Sf 5 6 - ass QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT Jet ressure- mui vt S4.uxr lire d HOURS LABOR AMOUNT TOTAL MECHANICS @ MATERIALS . HELPERS @ TOTAL LABOR I hereby acknowledge the satisfactory TOTAL LABOR TAX completion of the above described work. SIGNATURE DATE COMPLETED TOTAL 350 C?-c� f 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 periormed, d�:',cs of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T1016 POWERS SEPTIC & SEWER Purchase Order No. 3288 Cicero Road #23 Terms Noblesville, IN 46060 Due Date 8/18/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/18/2015 23080 $350.00 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 Date Officer VOUCHER # 156133 WARRANT # ALLOWED T1016 IN SUM OF S POWERS SEPTIC & SEWER 3288 Cicero Road #,23 Noblesville, IN 46060 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members 1 PO# INV# ACCT# AMOUNT Audit Trail Code 23080 01-7360-02 $350.00 i I Voucher Total $350.00 Cost distribution ledger classification if claim paid under vehicle highway fund