HomeMy WebLinkAbout258164 04/29/16 (9)
CITY OF CARMEL, INDIANA VENDOR: 354745
ONE CIVIC SQUARE MILLENNIUM LININGS ACCESSORIES CHECK AMOUNT: $********20.00*
CARMEL, INDIANA 46032 905 N RACEWAY ROAD CHECK NUMBER: 258164
INDIANAPOLIS IN 46234 CHECK DATE: 04/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 33505 54801 20.00 MOTOR VEHICLE PARTS
VOUCHER NO. WARRANT,NO. .Prescribed by Stale Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MILLENNIUM LININGS ACCESSORIES
IN SUM OF$ CITY OF CARMEL
905 N RACEWAY ROAD
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
INDIANAPOLIS,IN 46234 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$20.00 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
Invoice Date Invoice# Description Amount
PO#/Dept.1 INVOICE NO. ACCT#/Fund I AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s))
33505 I 54801 I 42-370.00 I $20.00 04/15/16 54801 $20.00
I hereby certify that the attached invoice(s),or
2201 201 2201 201
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
Tues y,April 26, 016
"'Y
$Not 00MIT11150111gr
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
,20
Clerk-Treasurer
1,
Millennium Linings & Accessories Invoice
905 North Raceway Road
Indianapolis, IN 46234 Date Invoice#
Phone (317)209-8000 4/15/2016 54801
Bill To
CARMEL STREET DEPT.
3400 W 131ST
CARMEL,IN 46074
Contact P.O. Number Terms Make/Model Stock Number
33505 Net30
Vehicle Vin Item Description Quantity Amount
REPLACEMEN Swiss Accessor... Swiss Accessory/Option-REPLACEMENT 1 20.00
T HANDLE
1
•I
Total $20.00
Thank YouH Balance Due $20.00
All Aoolicable Warranties Must Be Attached.