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HomeMy WebLinkAbout305586 11/28/16 +�r.t�AM CITY OF CARMEL, INDIANA VENDOR: 140100 J4/ ��� ONE CIVIC SQUARE I B S OF INDIANAPOLIS CHECK AMOUNT: $*******221.99* ia. ?� CARMEL, INDIANA 46032 6848 E.21ST STREET CHECK NUMBER: 305586 9�;�.,,._.; INDIANAPOLIS IN 46219 CHECK DATE: 11/28/16 �tON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 44493274 221.99 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) 1 B S OF INDIANAPOLIS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 6848 E. 21ST STREET IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46219 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $221.99 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 44493274 42-370.00 $221.99 1 hereby certify that the attached invoice(s),or 11/18/16 44493274 C44 $221.99 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, November 18,2016 _ 2 David Haboush Fire Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer * * * * ORIGIN-eL " "�* * . FIBS OF401ANAPOI-,ISS Xtn 48 1[ I nd iapol 1 s.,.,rLN=A6219" �Ji ��� �j��3,,17-1322 61 B')� � In G PRIOR ACCOUNT BALANCE _=$,- 221 .99 2376 1/ INVOICE:; ,44493274 CARMEL FIRE DEPT �II (�(,�TRUCKIf LSM N 41RWP 4925 E 106TH ST CARMEL,IN 4603373800!"- RYAN PITCHER 3171664-095B Tuesday I "��,��''=I` Tuesday 1111512016 PAYMENT TYPE: CHARGE ACCOUNT 10:24 AM Type Qty Description Age `Rate ." Price Upgrade Amount ------------"----------------------------------- ----------------------- SALE 1 MT7 65 x221_,99=__ - ® 221,99 NET 221.99 .I j�S'U�TOTAL 221.99 JL NUQ ICE, uOfAL L$�� 221.99 Total Consigned Qty = 0 Total Number Of Cores Picked-Up = 1 Core Balance: AT:6 HVIO LT:O NC:O UT-.'O, Total:6 CHECK H PO HC44 CLOSED _ HOLD _ CHARGEiPAID-_ ..PA IJ OUT"•-�„ AGING INGLUDES CURRENTj,INVOICE f1� 0`30 I��,J31.60 x__61=90 OVER�90 CREOITS 0007 443.98"' 0 � r00 V_�—+000 0,00 NEW 'DEALER BAL ANCE$ 443.98 a SIGNATURE: _NET�� PRINT NAME HERE;