308649 02/28/17 �/�44q""• CITY OF CARMEL, INDIANA VENDOR: 366310
® it ONE CIVIC SQUARE SCHAFER POWDER COATING INC CHECK AMOUNT: $""`"""190.00`
49` ,?q CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK NUMBER: 308649
�'�irtiii"�°' CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 95045 190.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 366310 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SCHAFER POWDER COATING INC IN SUM OF$ CITY OF CARMEL
4518 W 99TH 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.
CARMEL, IN 46032
Payee
$190.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department 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
95045 43-509.00 $190.00 1 hereby certify that the attached invoice(s),or 2/9/17 95045 $190.00
2201 2012201 201
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 14,2017
Huffman, Dave
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
Schafer Powder Coating, Inc. FW®ICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE#: 95045
CUST.#: City of Carmel
PH:(317)733-2001
i
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel IN 46032
i INVOICE_DATE PO# _�_W/O# SALESPERSON —� TERMSSHIP VIA
02/09/2017 See Below I See Below Net 30 Days Customer Truck
I ORDER QTY. SHIPPED or PART NUMBER. .: [: PART.DESCRIPTION r. UNIT PRICE:__:_. ,_;_EXT:.PRICE
1 1 Tool Box Tool Box 190.000 /ea. j $190.00
I I
i Shipped:02/09/2017
PO:01302017 P/L:98134 w/O: 141032
i
--- -- 1 ------- ------------------- - --- -- - ---- - -------------
�__..._............
-
! SUBTOTAL: �19
Surcharge: 0.00 '
Cert: 0.00
Tax 1: 0.00
Tax 2: 0.00
Charges: ' 0.00
Freight: 0.00
Page 1 of 1 INVOICE ISO TOTAL. $190.00
Schafer Powder Coating, Inc. PACKING LIST
4518 West 99th Street
Carmel, IN 46032
Phone: (317) 228-9987
Fax: (317) 228-9991
PACKING LIST#: 98134
P/L DATE: 02/09/2017
SOLD TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 i Carmel IN 46032
Ship: Customer Truck Total Ctns: 0 Bently PH:3176916725 FAX:
ION ;;PO#' */O*' .- Job"Of"ri
1 qty. Tool Box Tool Box
0 B10 Process., Powder Coating 01302017 141032
Sand Blast SF Red Ctns:0
Received by: Date: Total Wt: 0.00 grams
Page 1 of 1 PACKING LIST ISO 2/9/2017 9:00:04 AM