HomeMy WebLinkAbout255332 02/09/16 CITY OF CARMEL, INDIANA VENDOR: 366767
ONE CIVIC SQUARE VAN AUSDALL & FARRAR CHECK AMOUNT: $""'"'•"341.37"
CARMEL, INDIANA 46032 PO BOX 713683 CHECK NUMBER: 255332
M,�roN CINCINNATI OH 45271-3683 CHECK DATE: 02/09/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4353004 144820 341.37 COPIER
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
s
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
1 1 itI?2.a 135-3 tw'l( 3Y/37 or 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
20/&
ignatureo
GT d1 -
Cost distribution ledger classification if �� Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts .• City Forth 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
UCt vA C1w.i.rd.DQac" + FaA&,&4 14e.. Purchase Order No.
Terms
' p 14 k 572-71- 3(PkS Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/12-1I L 1 'I 4 YZo 3 /, 3 7
Total
I hereby certify.that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
Van Aluselall MAIL REMITTANCE TO: M_p 'f Statement
& Farrar VAN AUSDALL AND FARRAR, INC.
ORKITECHNCMOGYPO BOX 713683 Cincinnati OH 45271-3683 p
AN
� a Phone(317) 634-2913 Fax(317) 638-1843 cl,-of Z
Email invoice questions to: '311
634
billing@vanausdalI.com
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CITY OF CARMEL
1 CIVIC SQ
CARMEL, IN 46032
Statement Date a Account No '' Amou
1/12/2016 103781 $ 341.37
y. a e r 5 MM i a asV01Ce
`Transaction
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Contract Invoice 12/3/2015 12/13/2015 144820 16089-03 $341.37 $341.37
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$ 0.00 $ 341.37 � 10.00 y