HomeMy WebLinkAbout250256 10/07/15 CITY OF CARMEL, INDIANA VENDOR: 369395
;. CHECK AMOUNT: 5""""'2,500.00"
ONE CIVIC SQUARE BOB HELBER
CARMEL, INDIANA 46032 7033 S 600 w CHECK NUMBER: 250256
PENDLETON IN 46064 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350900 21500.00 OTHER CONT SERVICES
/C A0 A, e,/4/
WORK PERFORMED AT:
DATE YOUR WORK ORDER N0. OUR BID NO.
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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'sdm of
Dollars($ Sa6 1.
This is a ❑Partial ❑Full invoice due and payable by:
Month Day Year
in accordance with our ❑Agreement ❑Proposal No. Dated
Month Day Year
�::adams•NC3822 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
09/29/15 0 $2,500.00
1206 101
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
7033 S 600 W IN SUM OF $
PENDLETON, IN 46064
$2,500.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
- y
0 I 43-509.00 I $2,500.00 1 hereby certify that the attached invoice(s), or
1206 101
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
/7
SFr ay, October 0VI/V Lu
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Vim(
Street Corurniss oncr
Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund