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HomeMy WebLinkAbout304659 10/31/16 J`%'��p\ CITY OF CARMEL, INDIANA VENDOR: 00351074 ® ONE CIVIC SQUARE KIMBALL-MIDWEST CHECK AMOUNT: $...►.•«1 19,45' s. ?, CARMEL, INDIANA 46032 DEPT L-2780 CHECK NUMBER: 304659 9q,��'ON�� COLUMBUS OH 43260•27e0 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 5191803 119.45 EQUIPMENT REPAIRS & M VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) KIMBALL-MIDWEST ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DEPT L-2780 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service COLUMBUS, OH 43260-2780 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $119.45 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course 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 5191803 43-500.00 $119.45 1 hereby certify that the attached invoice(s),or 10/10/16 5191803 Repair Parts $119.45 1207 101 1207 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 Thursday, October 13,2016 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 iMBALL INVOICE INVOICE NO. PLEASE PAY FROM THIS INVOICE 5191803 DWT ORIGINAL'MIORDER NO. 5prciatizins in rZlate�iats 1{tanagerxc�t since 1 s�a3 0 0 0 3 8 3 C D REMIT TO: KIMBALL MIDWEST ACCOUNT NO. DEPT. L-2780 �• COLUMBUS,OHIO 43260-2780 (614-219-6100) 260582 www.kimballmidwest.com SOLD TO: SHIP TO: BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB MAINTENANCE BARN MAINTENANCE BARN 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL IN 46033 CARMEL IN 46033 RUSSELL PICKETT DATE ISALES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED VIA&DATE 10/10/16 WILLIAMS #3C U UPS GROUND 10/10/16 ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT DUE 10 10 87799 2" MINI CUTOFF DISC 34 .20 5 ?191 N. . 2`L.. 85 .:..:::.... :. ::::.; 25 25 878431 2" MEDIUM KIM-BRITS 48 . 00 [7P1C ISG # 2471703 77 Z:.WGfi..: ......: .. . To help us correctly process your payment please zhp b. e. in�tdice:;.,number oxx. your einY��ane�' ad�r�ce N. sank.:y0 for :ye r !bus mess ':«. yment .> is .:du ... l/0 : .. .. o recei e invoices via email send a request inc uding you eoauxt uibez tonvicelE�mx. ballmdwes com You acknowledge and agree that,by placing this order,all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest Motor Supply Co.,Inc.d/b/a Kimball Midwest.You further agree that this information is for your internal use only and will not be copied,reproduced,distributed or disclosed by you and/or your organization without the prior written consent from Kimball Midwest. CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX°/a TAXAMT. SHIPPING INVOICE TOTAL STITUTES DELIVERY AND CLAIMS FOR LOSS OR DAMAGE IN TRANSIT MUST BE FILED BY CUSTOMER. GOODS RETURNED WITHOUT OUR CONSENT WILL POSITIVELY NOT BEACCEPTED. 119 . 45 119 . 45 DEBTOR IS LIABLE FOR USUAL AND CUSTOM- ARY COLLECTION CHARGES. ALL CHECKS MUST BE MADE PAYABLE ONLY TO"KIMBALL MIDWEST We Appreciate Your Business PLEASE REMIT THIS AMOUNT