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303778 09/30/16 r_Coq CITY OF CARMEL, INDIANA VENDOR: 361278 `" .} CHECK AMOUNT: $*******800.00* .�; ® ;• ONE CIVIC SQUARE WEBB EFFECTS LLC =q CARMEL, INDIANA 46032 951 ATIR LANE CHECK NUMBER: 303778 9Mir6r(E°'� GREENFIELD IN 46140 CHECK DATE: 09/30/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 2016-0076 800.00 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) WEBB EFFECTS LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 951 ATIR LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service GREENFIELD, IN 46140 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $800.00 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 2016-0076 43-501.00 $800.00 1 hereby certify that the attached invoice(s),or 9/25/16 2016-0076 CFD Logos on PVC $800.00 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 Monday, September 26,2016 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 Webb Effects, LLC Invoice 951 Atir Ln. Greenfield, IN 46140 Date Invoice# 9/25/2016 2016-0076 Bill To Ship To Cannel Fire Department 2 Civic Square Carmel,In 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 9/25/2016 Quantity Item Code Description Price Each Amount 1 Vinyl 46"CFD logo on pvc for sta 42 450.00 450.00 1 Vinyl 30"Station 42 on pvc 350.00 350.00 Tax Free 0.00% 0.00 Total $800.00