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260221 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 356465 ® 31 ONE CIVIC SQUARE JIM RUSSELL PLUMBING &HEATING CHECK AMOUNT: $.......160.00• r� CARMEL, INDIANA 46032 70 E HAWTHORN ST CHECK NUMBER: 260221 ZIONSVILLEIN 46077 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 220724 160.00 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) JIM RUSSELL PLUMBING & HEATING ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 70 E HAWTHORN ST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ZIONSVI LLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $160.00 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 220724 43-501.00 $160.00 1 hereby certify that the attached invoice(s),or 6/17/16 220724 $160.00 1120 101 1120 101 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 Monday, June 20,2016 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer IF T. Invoice ___..- trte St Zionsville, IN 46077 Date Invoice# 6/16/2016 220724 Bill To: Carmel Fire Dept. 2 Civic Sq. Terms Carmel, IN 46032 Due on receipt Original Complaint Job Number 061616PCFD Description Qty Amount Location: Headquarters, 2 Civic Square Carmel, IN 46032 160.00 Cleared obstruction in kitchen sink drain License#C01020006 Total $160.00 Payments/Credits $0.00 Balance Due $160.00 Phone# 317.873.5773