HomeMy WebLinkAbout253919 01/26/16 I f4gq
�1`(" \ CITY OF CARMEL, INDIANA VENDOR: 364096 CHECK AMOUNT: $ 634.00
ONE CIVIC SQUARE LAI LTD
.......
sy ��; CARMEL, INDIANA 46032 5400 NEWPORT DRIVE STE 10 CHECK NUMBER: 253919
��[30N�. ROLLING MEADOWS IL 60008 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 15-13504 634.00 OTHER EXPENSES
Invoice
LAI, Ltd. •
5400 Newport Drive,Suite 10
Rolling Meadows,IL 60008
(847)392-0990 1/13/2016 15-13504
Fax(847)392-1095
• SHIP TO:
Carmel Wastewater Utilities Carmel Wastewater Treatment Plant
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis,IN 46280 Indianapolis,IN 46280
Attn:Duane Jarvis
• ® • PROJECT
j S15608 Net 30 1/5/2016 UPS. Factory 15-1280
• • � DESCRIPTION 1.1 14d:8:Fix@]on •
1 10081679 MSA: Gasgard XL,Display Board 634.00 63400
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TOTAL
$634.00
29646 653972(12113)
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
364096
LAI-LTD Purchase Order No.
5400 NEWPORT DRIVE STE 10 Terms.
ROLLING MEADOWS, IL 60008 Due Date 1/20/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/20/2016 15-13504 $634.00
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
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VOUCHER # 157055 WARRANT # ALLOWED
364096 ,
IN SUM OF $
LAI LTD s
5400 NEWPORT DRIVE STE 10
ROLLING MEADOWS, IL 60008
Carmel Wastewater Utility '
ON ACCOUNT OF APPROPRIATION FOR
l Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
t
15-13504 01-7202-06 $634.00
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Voucher Total $634.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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