301387 07/28/16 1� CgpF!
<� CITY OF CARMEL, INDIANA VENDOR: 127250
ONE CIVIC SQUARE H.H. GREGG INC CHECK AMOUNT: $*******598.00*
CARMEL, INDIANA 46032 4151 E 96TH ST CHECK NUMBER: 301387
Fyson INDIANAPOLIS IN 46240 CHECK DATE: 07/28116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463300 9922-038933 598.00 APPLIANCES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
H.H. GREGG INC ACCOUNTS PAYABLE VOUCHER
4151 E 96TH ST IN SUM OF$ 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.
$598.00 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
9922-038933 44-633.00 $598.00 1 hereby certify that the attached invoice(s),or 7/27/16 9922-038933 Sta.44 $598.00
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
Wednesday,July 27,2016
David Haboush
Fire Chief
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Commercial Sale On-Line
**REPRINT** Order 9922-038933
Date: 07/27/2,016 12:24
4151 E. 96th St Cashier#:3212
Indianapolis, IN, 46240 (800) 264-8644 0636 - JOHN BLUNK
D
S 010658 Purchase Order No: STATION 44 e KURT WEDDINGTON
CARMEL FIRE DEPARTMENT i CARMEL FIRE DEPT STATION 44
a 2 CIVIC SQUARE v 5032 E MAIN ST
CARMEL, IN 46032 r CARMEL, IN 46033
Home: (317) 571-2600 Office: (317) 571-2600 y Home: (317) 571-2600 Office: (317) 571-2600
Resale#: 003120155-002-0 T
Delivery Disclaimer Special Instructions
Appliance cannot be hooked up without purchase of applicable installation kit.
Sls# Qt Model No. Description DelDate Serial Number Loc Code Tm Via Price Total
++++++++++++++++++++++++++++CO WILL CALL ITEMS+++++++++++++++++++++++
0001 1 KDTE104ESS DISHWASHER,KIT,E STAR,SS 07/28/16 0001 CO AT 99 598.00 598.00
CUST IS TAX EXEMPT 07/28/16 0001 CO AT 99
TAX ID IS 003120155-002-0 07/28/16 0001 CO AT 99
Thank you. JOHN BLUNK Subtotal $598.00
R _ Accounts Receivable$598.00 Tax $0.00
The merchandise described above has been inspected
Order Total $598.00
and received in good condition unless otherwise
notated on the invoice.
Delivery has been completed and no damage Balance Due(C.O.D.) $0.00
has occurred to our personal property.
Please save this invoice.
Thank You!
Merchandise Received By Date ----------
9922038933
Merchandise Delivered By Date
Retain this invoice for future service or returns.