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308610 02/28/17 CITY OF CARMEL, INDIANA VENDOR: 201080 ONE CIVIC SQUARE MID-AMERICA ELEVATOR INC CHECK AMOUNT: $""" ""374.99' CARMEL, INDIANA 46032 1116 E.MARKET STREET CHECK NUMBER: 308610 M,TON. INDPLS IN 46202.3629 CHECK DATE: 02/28/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4351501 130094 374.99 EQUIPMENT MAINT CONTR VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 201080 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MID-AMERICA ELEVATOR INC IN SUM OF$ CITY OF CARMEL 1116 E. MARKET STREET 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. INDPLS, IN 46202-3829 Payee $374.99 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 130094 43-515.01 $374.99 1 hereby certify that the attached invoice(s),or 2/1/17 130094 $374.99 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 Tuesday, February 21,2017 Lamb, Barbara 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice# Mid-America Elevator Co., Inc. 1116 East Market Street 130094 Indianapolis,IN 46202 (317)635-5500 phone Date ' (317)635-3392 fax 2/1/2017 www.nddanwricaelevator.com INVOICE Bill To: Carmel City Hall Account: Carmel City Hall Attn:J.Barnes One Civic Center One Civic Center Carmel, IN 46032 Cannel, IN 46032 Account#: 1040A Ermail to:jbarnes@carmeLin.gov + ? PO# C5 # Terris _ Due Upon Receipt Job# 44Type Maintenance 7777-7 777--1 Description Amount Monthly Billing for Elevator Maintenance $374.99 February 2017 Maintenance Contract Billing Submitted To Building Maintenance FEB 21 2017 .Account # '5/S Department # /20 5 Clerk Treasurer Putting Customers First I Thank you for your business! Should you have any questions,please call 317-635-5500. Terms: DUE UPON RECEIPT-Service charge of one and one-half percent(1 1/2%)per month(APR18%)will Sub-Total $374.99 be charged on all unpaid balances after 30 days from date of invoice. Sales Tax 0.00 TOTAL $374.99