HomeMy WebLinkAbout256940 03/31/16 t�ut_4!1q*F;
{ CITY OF CARMEL, INDIANA VENDOR: INDIAN CHECK AMOUNT: $......**85.00*
.j y• ONE CIVIC SQUARE INDIANA STANDARDS LABORATORY
,. CARMEL, INDIANA 46032 2919 SHELBY STREET CHECK NUMBER: 256940
INDIANAPOLIS IN 46203-5236 CHECK DATE: 03/31/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 28488 85.00 OTHER EXPENSES
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INDIANA STANDARDS LABORATORY INVOICE NUMBER:
2919 Shelby Street 28488
INDIANAPOLIS, INDIANA 46203-5236
PAGE:
(317) 787-6578 FAX(317) 787-6580 1
SOLD TO:
City of Carmel City of Carmel
9609 Hazel Dell Parkway
9609 Hazel Dell Parkway Indianapolis, IN 46280
Indianapolis, IN 46280 USA
USA
CUSTOMER ID - CUSTOMER PO SALES REP ID
30420 _S158 4-8.-
.
8.
PAYMENTTERMS INVOICE DATE DUE DATE
2% 10 Net 30 Das 3/22/16 4 21 16
DESCRIPTION AMOUNT
Reference
C10 Calibration GPEI TIN 150431 SIN 140192466 85.00
Subtotal 85.00
Sales Ta>
Freight
Total Invoice Amoun $85. 00
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
355234
INDIANA STANDARDS LABORATORY Purchase Order No.
2919 SHELBY STREET Terms
INDIANAPOLIS, IN 46203-5236 Due Date 3/28/2016
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
3/28/2016 28488 $85.00
hereby certify that the attached invoice(s), or bill(s) is (are)true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 165019 WARRANT # ALLOWED
355234 IN SUM OF $
INDIANA STANDARDS LABORATORY i
2919 SHELBY STREET
INDIANAPOLIS, IN 46203-5236
I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
)� Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
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I
28488 01-7362-05 $85.00
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4
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Voucher Total $85.00
Cost distribution ledger classification if
claim paid under vehicle highway fund