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HomeMy WebLinkAbout304721 10/31/16 r Coq ��%�� ""� CITY OF CARMEL, INDIANA VENDOR: 368568 ® ONE CIVIC SQUARE PALMER POWER &TRUCK EQUIPMENT CHECK AMOUNT: $ *******21.16* ?� CARMEL, INDIANA 46032 2415 W THOMPSON ROAD#A CHECK NUMBER: 304721 4M,�TON. INDIANAPOLIS IN 46217 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 PT63148 21.16 OTHER EXPENSES VOUCHER# 163012 WARRANT # ALLOWED 368568 IN SUM OF $ PALMER POWER & TRUCK EQUIPMEP 2415 W THOMPSON RD #A INDIANAPOLIS, IN 46217 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO* INV# ACCT# AMOUNT Audit Trail Code PT63148 01-6500-05 21.16 Voucher Total 21.16 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service,where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 368568 PALMER POWER&TRUCK EQUIPMENT Purchase Order No. 2415 W THOMPSON RD#A Terms INDIANAPOLIS, IN 46217 Due Date 10/17/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/17/201( PT63148 21.16 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 Date Officer III ER �oFA8/�/ 90 Palmer Power & Truck Equipment eq� OC 2835 South Holt Road V %y J n Indianapoils, IN 46241 Q Q y (317)634-8951 Sold To: Ship To: Carmel Utilites Water Oper. Carmel Utilites Water Oper. WATER OPERATIONS WATER OPERATIONS 3450 W 131ST STREET 3450 W 131ST STREET Carmel,IN 46074 Carmel,IN 46074 CUSTOMER Customer Acct Number Phone Number Salesman Invoice # > PT63148 C09721 1317 733-2855 1KAK-BH customer-Order Number - Tax ID Number Date Ship Via Page 1 $1000 OR MORE 100031201550-020 07-18-16 WILL CALL LOC IPart# Description JStkcls Ord. S 1p Unit Price Extension V C 13m35151 GASKET 01 3 3 1.45 4.35 V C 13M3 5152 GASKET 5.97 FREIGHT 10.84 09:36AM 9A1 PARTS NTX Sub Total 10.32 Freight 10.84 Received By:X Sales Tax 0.00 Please Pay 21.16 [ ] Cash [ ] Check # [ ] Credit Card 220 Paid on Disclaimer of Warranties:The seller hereby disclaims all warranties either expressed or Implied,Including any Implied warranty of merchantability or fitness for a particular purpose,and seller neither assumes nor authorizes any other person to assume for It any liability In connection with the sale of the parts. Return policy:Special order and electrical parts are not returnable.All claims and returned parts must be accompanied by this bill.Not responsible for labor on parts not Installed by our shop.