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250863 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 365207 CHECK AMOUNT: $ONE CIVIC SQUARE TC PROPERTY }11...... 1}}}}}92.25} =4 CARMEL, INDIANA 46032 4774 NYLA COURT CHECK NUMBER: 250863 NOBLESVILLE IN 46062 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2749 92.25 OTHER EXPENSES Invoice Date Invoice# 10/13/2015 2749 PR 'RTY ,f' I _ Bill To City of Carmel Utilities 47'74 ' yla Ct Westrield, IN 46062 (317) 716-5578 P.O. No. Terms s15319 Date Item Description Rate Quantity Amount custom sign 18X 18 custom lift station sign.4.5 sq ft 12.50 4.5 56.25 set-up no charge 0.00 0.00 vinyl 4 color decal for door at lift station.4.5 sq ft 8.00 4.5 36.00 Total $92.25 Pay online at: https://ipn.ilItLlit.com/aelO I lu I 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 365207 TC PROPERTY Purchase Order No. 4774 NYLA CT Terms WESTFIELD, IN 46062 Due Date 10/16/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/16/201,1 2749 $92.25 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 1011,115- Date SDate Officer VOUCHER # 156497 WARRANT # ALLOWED 365207 IN SUM OF $ TC PROPERTY 4774 NYLA CT WESTFIELD, IN 46062 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2749 01-7200-04 $92.25 I , t Voucher Total $92.25 Cost distribution ledger classification if claim paid under vehicle highway fund