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HomeMy WebLinkAbout300313 07/14/16 tA.- CITY OF CARMEL, INDIANA VENDOR: 36,6507 Ig ® ONE CIVIC SQUARE CIRCUIT SQUARE TV-VIDEO CHECK AMOUNT: $*******209.95* CARMEL, INDIANA 46032 9613 N.COLLEGE AVE CHECK NUMBER: 300313 INiIANAPOLIS IN 46280 CHECK DATE: 07/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 14900 209.95 EQUIPMENT REPAIRS & M Voucher No. Warrant No. 366507 Circuit Square TV-Video Allowed 20 9613 N. College Ave. Indianapolis, IN 46280 In Sum of$ $ 209.95 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT XTITLE AMOUNT Board Members Dept# 1096-21 14900 4350000 $ 209.95 1 hereby certify that the attached invoice(s), or 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 July 6, 2016 Signature $ 209.95 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Cf ® X- giNs-A.14 DATE NAME ADDRE2 1.• J PHONE DATE PROMISED MAKE MODE NO SERIAL NO. -ATE OF ORIGINAL INSTALLATION TROUBLE REPORTED ' - []'] ESTIMATE F-1 CASH ff 1 -❑ WARRANTY [].CHARGE ❑ CONTRACT ❑ C.O.D. QTY. DESCRIPTION AMOUNT -9s;(�© pBY: MENTS TOTAL M arraW,90 days on new pads TECHNICAL SERVICETIME SHOP -]'HOME', i 30 days laborVii ng res ❑� ❑ ,2aIR / I t/ TECHNICIAN j.D E.8C+1fP� ;�TfcJr T. PJ (C3 I SIGNA TOTAL w nature above constitutes.acceptance of above work as being , satisfactory-and that equipment has been left in rood condition.