301005 07/25/16 y u!_FAgy CITY OF CARMEL, INDIANA VENDOR: 127250
® 4�:.
ONE CIVIC SQUARE H.H. GREGG INC CHECK AMOUNT: $'******149.00*
r. CARMEL, INDIANA 46032 4151 E 96TH ST CHECK NUMBER: 301005
9.y`,..___y.!�, INDIANAPOLIS IN 46240 CHECK DATE: 07/25/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463300 0139049067 149.00 APPLIANCES
Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
H.H. GREGG INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4151 E 96TH ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46240 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$149.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
0139049067 44-633.00 $149.00 1 hereby certify that the attached invoice(s),or 7/18/16 0139049067 $149.00
1120 102 1120 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
Monday,July 18,2016
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
hh9regg GREGG APPLIANCES, INC. Order: 9922038666
4151 E. 96TH ST. Invoice. 0139049067
INDIANAPOLIS, IN 46240
(317) 848-8710 DATE
0630/16
***** Billing Invoice **** SALESPERSON 0636
CUSTOMER NO. 010658 PURCHASE ORDER NO. GARY CARTER
SOLD TO CARMEL FIRE DEPARTMENT DELIVER TO CARMEL FIRE - STATION 41
ADDRESS ADDRESS
2 CIVIC SQUARE 2 CIVIC SQUARE
CITY/STATE CARMEL, IN ZIP 46032 CITY/STATE CARMEL 46032
PHONE (317) 571-2600 PHONE (317) 508-5777
Attn: GARY CARTER
OTHER PHONE SPECIAL INSTRUCTIONS
Resale: 003120155-002-0
QTY. MODEL NUMBER DESCRIPTION R�T�100w
** ��1l� R*** DEL. T DEL, RICE EACH TOTAL
_tai -_ -NFbE*
i1 -R551ZS !_ _ SHARP_,1- 8- CUFT, 1 , SS _,,:art_ � � 4.9 0.0_ 149 . 0-0---
- ,-,.MICRO,,ia1
}Sub-Tot_ _ II
0 . 00
i Total 149 00
� I
r
, NTS l 149 . 00ACCO -__RECEIVABLE
-- --
{ OT 149 . 00
T AL DUE__...
* Payment Due
30 Days Fro ► 06/3 0/16
i-
RETAIN
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SEE BACK . .. .. ... INFORMATION
We have inspected the above described merch-
andise and have found it to be in good condition.
Delivery has been completed and no damage
has occurred to our personal.property.
Merchandise Received By Date
GOODSALL CLAIMS, RETURNED OR •
Merchandise Delivered By Date REQUEST MUST BE ACCOMPANIED BY THIS SALM
INVOICE. ALL RETURNS MUST BE WITHIN DAY
ORIGINALAND HAVE•- .ALL INSTRUCTION