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CITY OF CARMEL, INDIANA VENDOR: 361637ONE CIVIC SQUARE FREDERICKS CONTRACTORSCHECKAMOUNT: S* *****891.00*
CARMEL, INDIANA 46032 PO Box 229 CHECK NUMBER: 259539
PENDLETON IN 46064 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4350100 5121-16 891.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
FREDERICKS CONTRACTORS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 229 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PEN DLETON, IN 46064 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$891.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
5121-16 43-501.00 $891.00 1 hereby certify that the attached invoice(s),or 6/7/16 5121-16 Sta.43 $891.00
102 102 102 102
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,June 07,2016
�� �_ -:� -A
David Haboush
Fire Chief
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
CONTRACTORS
Name Carmel Fire Dept., Station #43 Date: 6/1/2016
Address 3242 East 106th St. Invoice# 5121-16
Carmel, IN 46033 Project# SOGC2016
ATTN: Orbie Bowles S.O.# 2016-203
Iteml Description Unit Total
Install 4 cans lights with red LED lamps; includes all wiring and $891.00
termination to emergency system contacts for red alert lights.
As Agreed
Thank You
Balance Due TOTAL $891.00
Terms:Net due upon receipt. 1 %%service charge added monthly.
REMIT TO:
Fredericks Inc. 5448 W. State Road 132, P.O. Box 229, Pendleton, IN 46064
Phone: 765-778-7588 FAX: 765-778-7589