HomeMy WebLinkAbout252778 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 370141
ONE CIVIC SQUARE SAMUEL MOFFITT CHECK AMOUNT: $*******156.88*
CARMEL, INDIANA 46032 300 E 4TH STREET CHECK NUMBER: 252778
SHERIDAN IN 46069 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 REIMB 156.88 SAFETY ACCESSORIES
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Tractor5upply.com
17500 AUSTRIAN PINE WRY
WESTFIELD, IN 96079
317-867-3505
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i)ai�: 1217/i5 Time: 1 :50 PM
Caste. 93? Register 1
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Pavy: CHRNEL SIRLE1 DEPT
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Sandstone BootOt, — Pr-ice_ Amount _
SPecial Order Article - --
222220 10002937 0.01 199.38 0 E
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Special Order TO 5109312101956
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8667009 SOO Freight
SPE,.. I 12.5o 0.00 E
iai Order ID S/09312101955
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SPeci a 1 Order 1-DS 109166. 18456 156.88 E
SUb10tar 156.88
Tax 0.00
_ Total 156.88
Cash -
- 157.00
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Prescribed by State Board of Accounts City Form No.0
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 Invoice Description AmOat
Date Number (or note attached invoice(s) or bill(s)) $156 g8
a:
12/07/15
F.
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in acco
rclo
with IC 5-11-10-1.6
20
Clerk-Tra—