HomeMy WebLinkAbout302027 08/22/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 370118
ONE CIVIC SQUARE ACCULEVEL CHECK AMOUNT: $*******945.00*
CARMEL, INDIANA 46032 9495 N WALDRON ROAD CHECK NUMBER: 302027
ROSSVILLE IN 46065 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 9304 945.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCULEVEL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
9495 N WALDRON ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ROSSVILLE, IN 46065 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$945.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
9304 43-501.00 $945.00 I hereby certify that the attached invoice(s),or $/3/16 9304 $945.00
1205 101 1205 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
Tuesday,August 09,2016
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
Invoice
AFmAIR
Completion Invoice#
Your Foundation Expert." Date
TOLL FREE 866.669.3349 FAX 317.672.0141 8/3/2016 9304
9495 North Waldron Road•Rossville,Indiana 46065
Bill To
Jim Martin
Carmel Fire Buffs Museum
210 1st Avenue SW Terms
Carmel,IN 46032
P.O. No. Work# Home# Other# Rep
RM
Description Amount
Provide and Install Basement Water Drainage Per Contract 945.00
FAUG,
r o 0 9 2016resezF.����
Building Maintenance
Account
Department #_ /Zo
Total $945.00
$35.00 fee on all returned checks Payments/Credits $0.00
Balance Due $945.00