HomeMy WebLinkAbout259071 05/31/16 y o'.cgA+, CITY OF CARMEL, INDIANA VENDOR: 369204
® ¢I' ONE CIVIC SQUARE INTERSTATE BILLING SERVICE INC CHECK AMOUNT: $'""*`204.71`
=a CARMEL, INDIANA 46032 Po eox 2208 CHECK NUMBER: 259071
�'��roN�°, DECATUR AL 35609-2208 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 P19845 204.71 REPAIR PARTS
VOUCHER NO. WARRANT NO.
ALLOWED 20
INTERSTATE BILLING SERVICE INC
PO BOX 2208
IN SUM OF $
DECATUR, AL 35609-2208
$204.71
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
P19845 I 42-370.00 I $204.71 1 hereby certify that the attached invoice(s), or
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
Tuesday ay 10, 16
, m
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
05/04/16 P19845 $204.71
2201 201
1 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
20
Clerk-Treasurer
Bobcat®of Anderson ' Bobcats of Bloomington Bobcat of Indy `- Bobcat.of Indy North
2075 East County Road 67 2002 West 3rd Street 2935 Bluff Road 4489 S.Indianapolis Road
Anderson,IN 46017 Bloomington,IN 47404 Indianapolis,IN 46225 Whitestown,IN 46075
765-643-4222 • 800-346-5624 812-287-8042 317-787-2201 • 800-825-9132 317-769-4946
Fax:765.643-5119 Fax:812-332-7580 Fax:317-787-2202 Fax:317-769-4951
Branch
Ship To: SAME AS BELOW
Date Time Page
05 04/16 11:15:01 O � 01
Account No. Phone No. Invoice No.
CARME002 317 7332001 P19845
Ship Via Purchase Order
Invoice To: CARMEL-STREET DEPT,CITY OF
3400 W 131ST STREET
WESTFIELD IN 46074
Salesperson
251
PARTS INVOICE
ORDER#: 019637
Part# Description Bin ORD ISS SHP B/O UTTTT Price Amount
6681513 SOLENOID FUEL D431 1 1 1 204.71 204.71
663052 INTERSTATE BILLING 204.71
REMITTANCE ADDRESS: INTERSTATELBILLING
P.O. BOX 2208
DECATUR, AIRF 5 6 0 9 vi
NIN
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• 200/a Restocking Fee • No Returns On Electrical Or Installed Parts X Purchased By
• $20.00 Returned Check Fee • No Returns After 45 Days
MRS
0 QPurchased For
I hereby certify under the perjury that the personal property
purchased by the use of this exemption certificate will be DIRECTLY
❑' used in the DIRECT production of agricultural products for resale.
www.bobcatofanderson.com • www.bobcatofindy.com S.S.#