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303538 09/26/16-VOID �W"CNF, �( �. CITY OF CARMEL, INDIANA VENDOR: 369739 *** , I; (� ONE CIVIC SQUARE SIGNWORKS CHECK AMOUNT: $ 100.00 s9 =q; CARMEL, INDIANA 46032 5349 WEST 86TH STREET CHECK NUMBER: 303538 ,y�roN�O` INDIANAPOLIS IN 46268 CHECK DATE: 09/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 16046 100.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SIGNWORKS 5349 WEST 86TH 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 46268 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $100.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 16046 43-509.00 $100.00 1 hereby certify that the attached invoice(s),or 8/23/16 16046 $100.00 2201 201 2201 201 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, September 13,2016 Dave Huffman Director 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 . SIGrINORKS Invoice 5349 West 86th Street Indianapolis,IN 46268 Date Invoice# IndenapolisSignworks,Corn 3171872,8722 8/23/2016 16046 Bill To City of Carmel 3400 W 131 st St. Carmel,IN 46032 Project P.O. No. Terms Due Date Rep Ship Via Street Sip Mike Net 30 9/22/2016 BP Our Truck Item Description Qty Rate Amount Signs Street Signs:Removal of graffiti and installation of sign 1 100.00 100.00 Subtotal $100.00 Sales Tax (7.0%) $0.00 Total $100.00 Payments/Credits $0.00 Balance Due $100.00