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301048 07/25/16 J/ CITY OF CARMEL, INDIANA VENDOR: 356465 ® ONE CIVIC SQUARE JIM RUSSELL PLUMBING &HEATING CHECK AMOUNT: $********60.00* CARMEL, INDIANA 46032 70 E HAWTHORN ST CHECK NUMBER: 301048 .y7roN'i�, ZIONSVILLE IN 46077 CHECK DATE: 07/25/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 220810 60.00 BUILDING REPAIRS & -MA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) JIM RUSSELL PLUMBING & HEATING ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 70 E HAWTHORN ST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ZI ONSVI LLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $60.00 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 220810 43-501.00 $60.00 1 hereby certify that the attached invoice(s),or 7/18/16 220810 46 $60.00 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,July 18,2016 U-ar 'ZS_ 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer r�_ sy Invoice 0 E k wtt�_ome St Zionsville, IN 46077 Date Invoice# 7/11/2016 220810 Bill To: Carmel Fire Dept. 2 Civic Sq. Terms Carmel, IN 46032 Due on receipt Original Complaint Job Number 071116PCF Description Qty Amount Station 46: Service Call 60.00 License#C01020006 Total $60.00 Payments/Credits $0.00 Balance Due $60.00 Phone# 317.873.5773