HomeMy WebLinkAbout300199 07/12/16 4%�cq''"f� CITY OF CARMEL, INDIANA VENDOR: 00350781
i; ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $********90.00*
CARMEL, INDIANA 46032 5225 E 151ST CHECK NUMBER: 300199
9M�9urii NOBLESVILLE IN 46062 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 2241 90.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
PICKETT'S PLACE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
5225 E 151ST IN,SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NOBLESVI LLE, IN 46062 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$90.00 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
2241 42-370.00 $90.00 1 hereby certify that the attached invoice(s),or 6/23/16 2241 $90.00
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Pickett's Place INVOICE
5225 East f6fst Street Invoice Number:
Noblesville, IN 46062 2241
Voice: (317)218-3678 Invoice Date:
Sold To: Fax: 1(317)669-0774 Jun 23,2016
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Cannel Street Department
3400 West f3fst Street
Westfield, IN 46074
USA
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL MIKE IN Cust. Pickup Net 30 Days 7/23/16
Quantity Item Description Unit Price Amount
1.00 MACHINE FITTING FOR JACK HAMMER 90.00 90.00
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I
Subtotal 90.00
Sales Tax
Total Invoice Amount 90.00
Check/Credit Memo No: '
Payment/Credit Applied
TOTAL 90.00
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