302151 08/22/16 / CITY OF CARMEL, INDIANA VENDOR: 127250
(-, ® ONE CIVIC SQUARE H.H. GREGG INC CHECK AMOUNT: $****`*"462.00`
CARMEL, INDIANA 46032 4151 E 96TH ST CHECK NUMBER: 302151
INDIANAPOLIS IN 46240 CHECK DATE: 08/22/16
t. rON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463300 009868418 462.00 APPLIANCES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
H.H. GREGG INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4151 E 96TH ST IN SUM OF$ 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.
$462.00 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
0099868418 44-633.00 $462.00 1 hereby certify that the attached invoice(s),or 8/10/16 0099868418 46 $462.00
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
Friday,August 12,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
hhgre(jg 0000 HHGREGG-INDIANAPOLIS CDC DEL#:0000814540
4151 E. 96TH STREET C COMMERCIAL SALE INV#:0099868418
jj CUSTOMER COPY Ij INDIANAPOLIS,IN 46240 ORD#:9923025660
DATE 08/09/16 10 :45
(800) 284-7344 ROUTE#: SALESPERSON
0636
CUSTOMER NO. PURCHASE ORDER NO. _ BLUNK, JOHN
010658 --station 46 -
SOLD TO DELIVER TO _
CARMEL FIRE DEPARTMENT - - - — -CARMEL -FIRE DEPS' S-T-A-T-ION-46---
ADDRESS ADDRESS
2 CIVIC SQUARE 540 W -136TH ST
CITY/STATECARMEL ' CITY/STATE ZIP
PHONE 46032 PHONE CARMEL IN 46032
(317) 571-2600 (317) 445-1532 --
ATTENTION:TONY COLLINS ATTENTION: TONY COLLINS
OTHER PHONE(3 17) 445-1532 SPECIAL INSTRUCTIONS
EMAIL : - - - - - - .
�Nc �Ilc allr D wi r I V '''R Y I NV®l t-i '''DEL
QTY MODEL NUMBER DESCRIPTION DEL.DA T E SERIAL NUMBER LOC CODE TIME TYPE PRICE EACH TOTAL
1 WDT780SAEM DISHWASHER,WPL,UNDRCNTR,FID,SD8/10/16 OOOC C AT 99 462.00 462.00
olzi 19j�I Fo '
I have inspected the above
described merchandise and SUBTOTAL: 462 . 00
accept the merchandise as TAX 0 . 00
delivered and no damages are TOTAL 462 . 00
visible. ACCOUNTS RECEIVABLE 462 . 00
COD DUE 0 . 00
Delivery has been completed and no damage has
occurred to our personal property unless noted on this
copy.
INVOICE. I DAYS
/a ! AND HAVE ORIGINAL
ACCESSORIES ALL INSTRUCTION
Custome Sig tur Date