HomeMy WebLinkAbout304540 10/31/16 CITY OF CARMEL, INDIANA VENDOR: 363937
j ® •�• ONE CIVIC SQUARE DAVIS INDUSTRIES. INC CHECK AMOUNT: $*******100.00*
:. =Q CARMEL, INDIANA 46032 4090 W WESTOVER DRIVE CHECK NUMBER: 304540
INDIANAPOLIS IN 46268 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 H091516-01-0 100.00 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
DAVIS INDUSTRIES. INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4090 W WESTOVER DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46268 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$100.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
General Administration 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
H0915 16-01-01 42-389.00 $100.00 1 hereby certify that the attached invoice(s),or 10/10/16 H0915 16-01-01 $100.00
1205 101 1205 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, October 24,2016
r
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
Davis Industries, Inc. INVOICE
4090 W.Westover.Drive Invoice Number: H091516-01-01
Indianapolis, IN 46268 Invoice Date: Oct 10,2016
USA
Customer ID: 3175712400
Voice: (317)871-0103 Page: 1
Fax: (317)871-0104 Duplicate
Bill To: Delivered To:
Carmel City Hall One Civic Square
One Civic Square Carmel, IN 46032
Carmel, IN 46032
Customer PO Payment Terms , Due Date Sales Rep ID
Net 10 Days 10/20/16
Quantity U/M Description, Unit Price Amount
1.00 Hour 9/15/2016-SMD-Changed Jeff Barnes password at Carmel Energy Center 100.00 100.00
Submitted To
OCT 2 4 2016
Clark Treasurer
Building Maintenance
Account # 389
Department # zd�
Subtotal 100.00
Sales Tax
Total Invoice Amount 100.00
Check/Credit Memo No: Payment/Cred it Applied
TOTAL .100.00
Overdue invoices are subject to late charges.