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HomeMy WebLinkAbout303488 09/26/16 (9CITY OF CARMEL, INDIANA VENDOR: 00352498 ONE CIVIC SQUARE NAPA OF WESTFIELD CHECK AMOUNT: 170.34* CARMEL, INDIANA 46032 PO BOX 245 CHECK NUMBER: 303488 , WESTFIELD IN 46074 CHECK DATE: 09/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 7996 170.34 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) NAPA OF WESTFIELD ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 245 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service WESTFI ELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $170.34 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 568635 42-370.00 $170.34 1 hereby certify that the attached invoice(s),or 9/21/16 568635 $170.34 1120 101 1120 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 Wednesday, September 21,2016 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 100006632 - -- NAPA Westfield Time: 14:02 Invoice Number 568635 M A700 EAST MAIN STREETP.O. BOX 245 Date: 09/15/2016 WESTFIELD, IN 46074 (317) 896-5615 Page: 1/1 7996 Employee: • CITY OF CARMEL-FIRE DEPT Sales Rep: 204 Salesman 3I Y Y 2 CIVIC SQUARE f S Accounting Day: 12 � OCR sCARMEL, IN 46032 - - - - - --- ----x. - - 1000066325686351 Par Number ILineF, Desciiption . Quantic Przce (` Net Dotal w_._ ... _ _ ___ } . _ _ __�... . ___. __ _ .� ._ __ _ '_1_U.___ _ ti� ' . 4364 1MAC PROTECTANT 6.00g 34.791 rr 28.3900 -170.34 4 j � 1 � � I 1 1 , ry Delivery: Subtotal 170.34 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: i Terms: No svc due 10th I _ _ . Total 170:3;4 - Customer Signature Charge Sale 170.34 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE CUSTOMER COPY