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HomeMy WebLinkAbout300221 07/12/16 i u!..G1Nb / \� CITY OF CARMEL, INDIANA VENDOR: 366310 I' I;• ONE CIVIC SQUARE SCOAFER POWDER COATING INC CHECK AMOUNT: $*******121.00* ;>. _� CARMEL,INDIANA 46032 4518 W 99TH STREET CHECK NUMBER: 300221 9M_TON�� CARMEL IN 46032 CHECK DATE: 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 90021 121.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SCHAFER POWDER COATING INC 4518 W 99TH STREET IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $121.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 90021 43-509.00 $121.00 1 hereby certify that the attached invoice(s),or 6/24/16 90021 $121.00 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 Wednesday,June 29, 2016 Dave Huffman Director 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 1 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Schafer Powder Coating, Inc. INVOICE 4518 West 99th Street, Carmel, IN 46032 INVOICE#: 90021 CUST.#: City of Carmel Eric PH:(317)733-2001 BILL TO: SHIP TO: City of Carmel rCity of Carmel �-— -- - One Civic Square One Civic Square Carmel, IN 46032 Carmel IN 46032 INVOICE DATE; PO#_-__ W/0# jSALESPERSONi TERMS SHIP VIA 06/24/2016 See Below See Below Net 30 Days Customer Truck ORDER QTY_ SHIPPED QTY. PART NUMBER _ PART DESCRIPTION _ L_UNIT PRICE RICE _— -- — — 3 3 Stand 35.000 lea. $105.00 Shipped:06/24/2016 PO:6-16-16 P/L:93118 W/O: 133661 i . 2 I 2 Base Base For Stand 8.000 /ea. $16.00 Shipped:06/24/2016 I i Po:6-16-16 P/L:93118 W/O: 133661 SUBTOTAL:1 $121.00 _...._ _- Surcharge: : 0.00 Cert: ! 0.00 Tax 1: 0:00 Tax 2: 0.00 Charges: 0.00 I Freight: 0.00 Page 1 of 1 INVOICE ISO TOTAL: $121.00