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308290 02/13/17 (9, CITY OF CARMEL, INDIANA VENDOR: 371184ONE CIVIC SQUARE VARIDESK LLCCHECKAMOUNT: S" "*; 720.00• CARMEL, INDIANA 46032 P.O.BOX 842583 CHECK NUMBER: 308290 DALLAS TX 75284 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4463000 34472 2-145447 720.00 SKU 47640 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 371184 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER VARIDESK LLC IN SUM OF$ CITY OF CARMEL P.O. BOX 842583 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DALLAS, TX 75284 Payee $720.00 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 34472 INV-2-145447 44-630.00 $720.00 1 hereby certify that the attached invoice(s),or 2/2/17 INV-2-145447 Floor mats for Sit/Stand deks $720.00 1192 Encrrnabered 101 1192 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, February 03,2017 Mike Hollibaugh Director 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 0 Invoice VARIDEIS Invoice # IVC-2-145447 2/1/2017 VARIDESK LLC PO Box 3588 Account Name: City of Carmel:Lisa Stewart Coppell,TX 75019 Account Number:704643 United States PO# 34472 (800)207-2587 Billing Address Shipping Address City of Carmel Lisa Stewart 1 Civic Square City of Carmel-Dept of Community Services Carmel, IN 46032 1 Civic Square United States Carmel, IN 46032 United States Terms Due Date Email Customer PO# Sales Rep Shipping Method Net 30 3/3/2017 Istewart@carmel.in.gov 34472 Nick Morici Ground DescriptionQuantity Item 12 49912 TheMat 36 rm $60.00 $720.00 Subtotal $720.00 Shipping/Handling $0.00 Tax $0.00 Order Total $720.00 Amount Paid $0.00 Amount Remaining $720.00 Please reference the number below on all ACHIEFT Payments. Invoice#IVC-2.145447 ACH/EFT Payments: CHECK Payments: DUNS: Varidesk Tax ID: Bank Name:Texas Capital Bank Varidesk LLC PO Box 660050 07-9464963 47-1148201 Benficiary Name:Varidesk,LLC Dallas,TX 75266 Routing/ABA No:111017979 Bank Account No:1511011429 PLEASE CLICK HERE TO PAY WITH CREDIT CARD. Page:1 of 1