HomeMy WebLinkAbout303203 09/22/16 CITY OF CARMEL, INDIANA VENDOR: 366507
® ti ONE CIVIC SQUARE CIRCUIT SQUARE TV-VIDEO CHECK AMOUNT: $*******390.95*
CARMEL, INDIANA 46032 9613 N.COLLEGE AVE CHECK NUMBER: 303203
INDIANAPOLIS IN 46280 CHECK DATE: 09/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 14908 390.95 EQUIPMENT REPAIRS & M
Voucher No. Warrant No.
366507 Circuit Square TV-Video Allowed 20
9613 N. College Ave.
Indianapolis, IN 46280
In Sum of$
$ 390.95
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-21 14908 4350000 $ 390.95 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
September 16, 2016
Signature
$ 390.95 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 properly 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.
366507 Circuit Square TV-Video Terms
9613 N. College Ave.
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/4/16 14908 Matrix TV Repair 40479 $ 390.95
Total $ 390.95
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
62,
' DATE
NAME
ADDRESS-
If
ONE DATE PROMISED
MAKE 0bft NO. SERIAL NO. - ATE OF OFI GINAL INSTALLATION
/"Y" EG/�TW%�7 �V �` t. ❑ ESTIMATE ❑ CASH
J/ �n Y'�' / ❑ WARRANTY ❑ CHARGE
❑ CONTRACT ❑ C.O.D.
QTY. DESCRIPTION AMOUNT
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V"arranty:S0 days on new parts TOTALTECHNICAL
O ays labor on/now pads SERV CE TIME [I SHOP E:1 HOME
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-- natu above constitutes acceptance.of above work as,being
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COLOR OF HOUSE SIDE OF STREET FLOOR APT. NO.
DELIVER VIA:
DELIVERY INSTRUCTIONS:
RECEIVED BY
Before writing on this side, detach carbon, turn over and reinsert between the sheets.
Promissory Notes should be made in duplicate with one copy for customer.
PROMISSORY NOTE
$ Date
For Value Received,I,
Promise to pay to the order of
the sum of
to be paid as follows:
with interest to be paid,at the rate of
per centum per annum,from date payment is due.
L.S.
(FOR SIGNATURE OF CUSTOMER)
L.S.
(ADDITIONAL SIGNATURE IF AVAILABLE)
SIGNED AND SEALED IN THE PRESENCE OF:
(WITNESS)