HomeMy WebLinkAbout304960 11/09/16 CITY OF CARMEL, INDIANA VENDOR: 371290
CHECKAMOUNT: $"""'i"'19.97•
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ONE CIVIC SQUARE TOM PAYNECARMEL, INDIANA 46032 6572 WEST CHARLESTON WAY CHECK NUMBER: 304960
MCCORDSVILLEIN 46055 CHECK DATE: 11/09/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 110716 19.97 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
TOM PAYNE
6572 WEST CHARLESTON WAY IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
MCCORDSVI LLE, IN 46055 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$19.97 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
0 42-370.00 $19.97 1 hereby certify that the attached invoice(s),or 11/2/16 0 $19.97
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
Friday, November 04,2016
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
More Is,
JIo More doing."
9320 CORPORATION OR
INDIANAPOLIS, IN 46256 (317)!115-8534
2018 00057 25403 10/18/16 10:58 AM
CASHIER SELF CHECK OUT
816562010193 16G SPKR WIR <A> . 19.97
CE 100' 16GA SPEAKER WIRE
SUBTOTAL 19.97
SALES TAX 1.40
TOTAL . $21.37
XXXXXXXXXXXX2646 MASTERCARD
21:-3-7- --
AUTH CODE 052838/7572491 TA
Chip Read
AID 'A0000000041010 4341504954414C204F4'
E45
TVR 0000008000
IAD 011060700122:000OAB6F000000OOOOOOOOFF
TSI E800
ARC 00
III I II IIIIIIIIIIIII III
I IIII III IIIIIII IIIIIIII III I
2018 57 25403 10/18/2016 0895
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