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305059 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 003085 t. .j4 ® ;'• ONE CIVIC SQUARE A.M. LEONARD INC CHECK AMOUNT: $**""****59.48* CARMEL, INDIANA 46032 Po Box 616 CHECK NUMBER: 305059 PIQUA OH 45356-0816 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4350400 CI16171675 59.48 GROUNDS MAINTENANCE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER A.M. LEONARD INC PO BOX 816 IN SUM OF$ CITY OF CARMEL Ani nvoice or bill to be properly itemized must show:kind of service,where performed,dates service PIQUA, OH 45356-0816 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $59.48 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 CI16171675/SO16 43-504.00 $59.48 1 hereby certify that the attached invoice(s),or 11/2/16 C1161716751SO16 Orange Marking Paint $59.48 160783 160783 1192 101 bill(s)is(are)true and correct and that the 1192 101 materials or services itemized thereon for which charge is made were ordered and received except Thursday, November 03,201.6 Mike Hollibaugh Director 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 A.M.Leonard INVOICE PLEASE REMIT TO: ' A.M.Leonard i1nc. Serving The Commercial Horticulture Industry Since 1885 P.O.BOX 816 FEDERAL IDENTIFICATION NO.310558693 Piqua,Ohio 45356-0816 241 Fox Drive-Piqua,Ohio 45356-0516 Phone 1-937-773-2694 Fax 1-937-773-9959 SHIP TO(IF OTHER THAN"SOLD TO") PLEASE REFER TO YOUR ACCOUNT NO,OUR INVOICE AND YOUR ACCOUNT NO. ORDER NO.IN ALL COMMUNICATIONS REGARDING THIS INVOICE 9625831 City of Carmel One Civic Square Attn Daren Mindham Carmel,IN 46032 YOUR PURCHASE ORDER NUMBER AND DATE OUR INV.NO/ORDER NO. INV.DATE SHIPPED VIA DATE SHIPPED Payment Due By 11/05/2016 CI16171675/S016160783 10/6/2016 UPS Ground 10/6/2016 NET 30 ORDERED SHII'PPED ITEM NO. DESCRIPTION UNIT PRICE LINE DSC AMT EXT AMOUNT 1 APM-50 PAINT MARKING FL ORANGE 42.4900 42.4900 42.49 Prepayments Paid 0.00 ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 11/2% SALES TAX FOB SHIPPING&HANDLING TOTAL DUE PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE.A 3%CONVENIENCE FEE WILL BE CHARGED ON ALL 0.001 Piqua 1 16.99 59.48 INVOICES OVER$1,000 THAT ARE PAID BY CREDIT CARD. ORIGINAL