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HomeMy WebLinkAbout320483 01/11/18 *f CITY OF CARMEL, INDIANA VENDOR: 372158 G, ty ® ONE CIVIC SQUARE LIFT INSPECTION SERVICE, LLC CHECK AMOUNT: $*******139.90* =q. CARMEL, INDIANA 46032 4203 ANDOVER PARKWAY CHECK NUMBER: 320483 9M,roN.�o, WESTFIELD IN 46062 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1164 139.90 OTHER EXPENSES VOUCHER NO. 177101 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 372158 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER LIFT INSPECTION SERVICE LLC CITY OF CARMEL 4203 ANDOVER PARKWAY An invoice or bill to be properly itemized must show: kind of service,where performed, WESTFIELD, IN 46062 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 139.90 372158 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR LIFT INSPECTION SERVICE LLC Terms Carmel WaSterwater UtIIItV 4203 ANDOVER PARKWAY Due Date BOARD MEMBERS I hereby certify that that attached invoice WESTFIELD,IN 46062 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1164 01-7362-06 $139.90 and received except 12/27/2017 1164 $139.90 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer LIFTINSPECTION SERVICES,.LLC. . . Invoice 800.391.6361 i .Info@ InspectingLifts.com..:. . www..I nspecti ngLifts.com, LIFT:INSPECTION SERVICES. . -BILL TOS »._ z . JeffCooper,. : . Carmel Waste;Water.Treatment;Plant. i. 9609 Hazel:Dell Parkway Indianapolis, IN 46280. INVOICE# ADATE' TOTAL DUE DUE DATE TERMS ENCLOSED 1.164 ...: 12/18/201.7 $139.90 :I 12/18/20.17 . : . -Due on receipt PO NUMBER DATE `i ACTIVITY AC'�TIUI€fY QTY RATE. AMOUNT :12/1:4/2017 ALI.Certified Inspections on.Bays 1 :&2 (the 2 .: 2 69:95 139.90 Ins ections ost above surface lifts N Lts BALANCE DUE 139.90:. Payment can be sent to the following address: LIFT INSPECTION SERVICES 4203 ANDOVER PARKWAY WESTFIELD, IN 46062