HomeMy WebLinkAbout301985 08/18/16 iV �gp''"� CITY OF CARMEL, INDIANA VENDOR: 362955
;, ® ; ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS CHECK AMOUNT: $*****1,216.92*
*9, ,a'' CARMEL, INDIANA 46032 PO BOX 19635 CHECK NUMBER: 301985
M�CFON e°. INDIANAPOLIS IN 46219 CHECK DATE: 08/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 164870 1,216.92 EQUIPMENT REPAIRS & M
Voucher No. Warrant No.
362955 Southern Food Systems Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of$
$ 1,216.92
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 164870 4350000 $ 1,216.92 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
August 10, 2016
P*NPWX1AJ
Signature
$ 1,216.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be property itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
362955 Southern Food Systems Terms
P.O. Box 19635
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/28/16 164870 Service Call Soft Serve Machine 40404 $ 1,216.92
Total $ 1,216.92
1 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
Clerk-Treasurer
CE'
/!
D21
AUG 012016BY: wvn CE NUMBERP.O. Box 1INVOICE D E 07/28/16
Indianapolis, Ind(317) 322 PAGESOLD TO L_ CLAY- ba MONON CTR SHIP TCmoNON CENTER
141 x0 STREET 1235 CENTRAL PARK
CARNML,IN 46032 DRIVE EAST
CARMEL,W 46032
(317)848-7275
SERVICE
SHIP VIA: P.O.NUMBER:
07/2$/16
CALL DATE:
DUE DATE: 08/12/16 OUR ORDER NO:
TERMS: Net 15 SALESMAN:
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE AMOUNT T
7071138836 HOSE TRANSFER RED 4 4 9.75 39.00
7071111780 COUPLING ASSY 1 1 91.41 91.41
7071153361 REDUCER-GEAR RH 5/1 HCE 1 1 844.01 844.01
8:00-10:30AM 2.500 2.500 75.00 187.50
7/28/16 RON
TRIP 55.00
88T-RMT .
D21,4467 ,
voice subtotal 1216.92
Invoice tota 1216.92
SIGNATURE:
-
I AGREE THAT EVERYI RING LISTED ON INVOICE IS ACC.
C OUNTED FOR UNDAMAGED,UN'ESS OTHERWIS NOTED.
BE S RE TO STOCK UP FOR THE SUM MER SEASON? VE APPRECIAT 9 YC UR BUSINESS!
WHITE COPY—SOUTHERN FOOD SYSTEMS YELLOW/PINK COPY—CUSTOMER
�j I Repair Order
f—w 1F1l This is not an invoice
FOOD SYSTEMS
• i•• 1
REASON FOR CALL:
� J •
Qty Part# DescriptionI Unit Price I Total
•
r7— i
• O i Vii/
WORK PERFORMED:
MAKE MODEL SERIAL# Time In Time out Hours Rate
SIGNATURE (I hereby acknowledge completion of'the
abovedescribed work.)