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HomeMy WebLinkAbout302607 08/31/16 i,C,�q s,% CITY OF CARMEL, INDIANA VENDOR: 140 00 ® ONE CIVIC SQUARE I B S OF INDIANAPOLIS CHECK AMOUNT: $ 216.08*. _� CARMEL, INDIANA 46032 6848 E.21ST STREET CHECK NUMBER: 302607 M��9uii.�°` INDIA APOLIS IN aszls CHECK DATE: 08/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NU BER AMOUNT DESCRIPTION 1120 4237000 132881 216.08 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) 1 B S OF INDIANAPOLIS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 6848 E. 21ST STREET 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 46219 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $216.08 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 132881 42-370.00 $216.08 1 hereby certify that the attached invoice(s),or 8/19/16 132881 A345 $216.08 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made wer ed-and received except Monday,August 22,2016 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer a IBS OF INDIANAPOLIS /NTERSTA►TE Page: 1 6848 E 21st St. Bi4T7'ER/ES Indianapolis IN 46219 (317) 322- 1818 Invoice Nbr :132881 DEALERNBR. 2376 Location of Sale :W01 CARMEL FIRE DEPT Sales Person Name :JOHN WRIGHT 2 CIVIC SQ Sales Person Nbr :JW2 CARMEL IN 46032-2584 PO Number (317)664-0958 Date :08/19/2016 Time :9:00:50 AM Payment Type: CHARGE ACCOUNT Type Qty Part Number/Desc Age Rate Price Amount Adjustment(in) 2 MTP-65 12 Perf Warr 0.00 (out) MT7-65 Upgrade 216.08 Net Adjustment. 216.08 ---------------- Sub Total 216.08 ---------------- ---------------- Sub Total 216.08 Invoice Total 216.08 Invoice Payment Amount 0.00 ---------------- Net Invoice $216.08 DE ER AGING Dealer Aging-Current Balance Total 216.08 0 to 30 days 216.08 31 to 60 days .00 61 to 90 days _ .00 91 days or more .00 Invoices 132881 216.08 PRINT NAME HERE SIGNATURE