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HomeMy WebLinkAbout304670 10/31/16 (9, CITY OF CARMEL, INDIANA VENDOR: 358649 ONE CIVIC SQUARE LIBERTY ART WORKS, INC i CHECK AMOUNT: $*****1,360.00* CARMEL, INDIANA 46032 PO 60x 36 CHECK NUMBER: 304670 DUTZOW MO 63342 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION .102 4467099 24873 31117 1,360.00 CLASSIC MALTESE AXE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) LIBERTY ARTWORKS, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 38 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service DLITZOW, MO 63342 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,360.00 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 24873 31117 44-670.99 $1,360.00 1 hereby certify that the attached invoice(s),or 10/12/16 31117 $1,360.00 1120 102 1120 102 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, October 13,2016 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice -° T WC-PKS :$'�.�dt'3d�P�;s �i�. 's:=:}@_CS�r: �d��L`,'�.�"f' s'�':�iffy �:�:•kA:.+4."W .aa 1 r. GEOM V ^lam p w� .• �q ''y � ;{ �1�,''��.;��� •���� t �ALAT"pp!1.7,-77-T yY��T`.�4._7' '6i?a c°ir4.L"$SLv iLd i3 6""'e�a�.S°Y`�' CSC�i�.S"!y�t'k'•"J I!gPjIP TO: CARMEL FIRE DEPT. CARMEL FIRE DEPT. dam°0 DEMISE SUMER ATTEN: DENISE SN` DER DIME CIVIC QUARE 2 CIVIC SQUARE CARMEL IN 4601W2 ARRIIIEL4 IN 46032 P.0- Number sitg Tew1 Ship T-ta Required By Date Slipped 2487 a Net 30 UPS DESCRIPTION Shipping up to 200- $399 4 20.001, d �k Total j t j [ f I P314,n 'm $ ii -g i f-VIME IN THE USA BYFIREFIGMTERS FOR FIREFIGHTERS TOTAL W&. q .1_s