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249798 09/23/15 nA6CITY OF CARMEL, INDIANA VENDOR: 363833 ONE CIVIC SQUARE MCBETH'S EMBROIDERY & SILKSCREEPGHECK AMOUNT: S'"""" '24.40' f, . CARMEL, INDIANA 46032 1015 3RD AVE SW CHECK NUMBER: 249798 +Mr,a �� CARMEL IN 46032 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 20151429 12.20 OTHER EXPENSES 651 5023990 20151429 12.20 OTHER EXPENSES McBeth's Embroidery & Silkscreen Invoice 1105 3rd Avenue SW Carmel, IN 46032 Date Invoice# 9/15/2015 20151429 Bill To Ship To Carmel Utilities Scott Campbell 30 West Main Street Suite 220 Cannel IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 9/15/2015 Quantity Item Code Description Price Each Amount 4 Embroidery client coats 6.10 24.40 Sales Tax 7.00% 0.00 Total $24.40 Phone# Fax# 317-848-7313 317-848-7315 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 363833 MCBETH'S EMBROIDERY& SILKSCREEN Purchase Order No. 1105 3RD AVE SW Terms CARMEL, IN 46032 Due Date 9/18/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/18/2015 20151429 $12.20 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 icer VOUCHER # 156336 WARRANT # ALLOWED 363833 IN SUM OF $ MCBETH'S EMBROIDERY & SILKSCRE 1105 3RD AVE-SW CARMEL, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 20151429 01-7360-07 $12.20 Voucher Total $12.20 Cost distribution ledger classification if claim paid under vehicle highway fund I McBeth's Embroidery & Silkscreen Invoice 1105 3rd Avenue SW Carmel, IN 46032 Date Invoice# 9/15/2015 20151429 Bill To Ship To Carmel Utilities Scott Campbell 30 West Main Street Suite 220 Carmel IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 9/15/2015 Quantity Item Code Description Price Each Amount 4 Embroidery client coats 6.10 24.40 Sales Tax 7.00% 0.00 Total $24.40 Phone# Fax# 317-848-7313 317-848-7315 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 363833 MCBETH'S EMBROIDERY & SILKSCREEN Purchase Order No. 1105 3RD AVE SW Terms CARMEL, IN 46032 Due Date 9/18/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/18/2015 20151429 $12.20 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 Ai Date fficer VOUCHER # 153124 WARRANT # ALLOWED 363833 IN SUM OF $ MCBETH'S EMBROIDERY & SILKSCRE 1105 3RD AVE SW CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 20151429 01-6360-07 $12.20 c � Voucher Total $12.20 Cost distribution ledger classification if claim paid under vehicle highway fund