HomeMy WebLinkAbout303432 09/26/16 �Ap''.• CITY OF CARMEL, INDIANA VENDOR: 00351189
CHECK AMOUNT: $*****""186.15*
. d •a!r: ONE CIVIC SQUARE J &M SUPPLY
CARMEL, INDIANA 46032 PO BOX 1184 CHECK NUMBER: 303432
CARMEL IN 46082-1184 CHECK DATE: 09/26/16
TOIi�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 20866 186.15 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
J & M SUPPLY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 1184 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46082-1184 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$186.15 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
20866 42-389.00 $186.15 1 hereby certify that the attached invoice(s),or 9/21/16 20866 $186.15
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
J & M Supply Corp INVOICE
AW PO Box 1184
Carmel, IN 46082-1184 DATE ORDER NO.
( 31-1) 844-3009 8/30/2016 20866
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
2 Carmel Civic Square Station 42
Carmel IN 46032 Carmel IN 46032
Att'n. Scott Osborne
P.O. NO. TERMS SHIP DATE SHIP VIA FOB VENDOR NO.
Net 20 8/30/2016 Our Truck Delivered
ITEM DESCRIPTION QTY UNIT PRICE B/O AMOUNT
7755-5 Squeegee fixed head w/ locking blade 28" white 3 35.25 0 105.75
2937-5 Handle Aluminum 59" white 3 26.80 0 80.40
Order Complete" Total $186.15