319536 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 366310..,
j, ONE CIVIC SQUARE SCHAFER POWDER COATING INC CHECK AMOUNT: $*****1,150,00*
CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK NUMBER: 319536
'•y`,�TON.A.? CARMEL IN 46032 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350000 105058 1,150.00 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 366310 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SCHAFER POWDER COATING INC IN SUM OF$ CITY OF CARMEL
W 9 EET '' �/�/� • ��'� �
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 fl
Payee
$1,150.00
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
105058 43-500.00 $1,150.00 1 hereby certify that the attached invoice(s),or 11/29/17 105058 Repair parts for Bike Rack on Main Street $1,150.00
1192 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
Monday, December 11,2017
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 IE lassification if claim paid motor vehicle highway fund. Clerk-Tres,,____
Schafer Powder Coating, Inc. WVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE#: 105058
COST.#: City of Carmel
PH:(317)733-2001
BILL TO: SHIP TO:
_._. __........_.... ........ . ... ...... .. .._._.—._._._._._...._. _ - -- ..._.....--....................................._..__......._.__................
..I.
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel IN 46032
- ---.-T...__._.......... _ _.._. ------- __ _ . _ n. _
._
INVOICE DATE., - PO# i W!O#_ _ SALESPERSON ._._.._.. TERMS _.__ __..._ .. _ . SHIP VIA. !_.........
11/29!2017 See Below See Below I Net 30 Days Customer Truck
— _........._._..._...-- -_.__.._....:.-.__...-- .._.....,._.....__....... -- - _..-..-._..__-:-------------..---....... --'-- ------.__._,_..._.._.-- - ... -.._ _.�.- - ._........._._._.._..., - ..............._.._._...._.._._.,
ORDER-_CITY..`SHIPPED CITY._jPART iVUMBER, _ PART_DESCRIPTION i _ UNIT PRICE
EXT_,._PRICE_.__.
1 1 Bike Rack Tubing/Frame Parts 500.000 /ea. $500.00
i
Shipped:11/29/2017
PO:102717 P/L:108231 w10: 151564 i
i
`Bike Rack. 2 Large pcs&Small Plate 650.000 /ea. $650.00
Shipped:11/29/2017 j
PO:102717 P/L:108231 w/O: 151564 I
_.... . .. ... . _ _..........................:................:.................. . ...... ... ..._... . ...........
—._......_..........-_.................... .. .................... ........
g�TOT ,: $1,150.00
Surcharge: 0.00 j
Cert: 0.00
Tax 1: : 0.00
Tax 2: 0.00
Charges: 0.00
Freight: 0.00
Page 1 of 1 INVOICE ISO TOTAL: $1,150.00