HomeMy WebLinkAbout320812 01/17/18 '-
{ CITY OF CARMEL, INDIANA VENDOR: 372158
ONE CIVIC SQUARE LIFT INSPECTION SERVICE, LLC CHECK AMOUNT: $*******244.85*
CARMEL, INDIANA 46032 4203 ANDOVER PARKWAY CHECK NUMBER: 320812
WESTFIELDIN 46062 CHECK DATE: 01/17/18
DEPARTMENT ACCOUNT PO NUMBER. INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1181 244.85 OTHER EXPENSES
VOUCHER NO. 177137 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 372158 IN SUM OF$ 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
244.85 372158 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR LIFT INSPECTION SERVICE LLC Terms
Carmel Wasterwater Utility 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
1181 01-7202-06 $55.00 and received except 1/11/2018 1181 $55.00
1181 01-7362-06 $189.85 1/11/2018 1181
$189.85
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
LIFT INSPECTION SERVICES, LLC Invoice r�
800.391.6361
Info@lnspectingLifts.com
www.InspectingLifts.com Lts
LIFT INSPECTION SERVICES
BILLTO
Jeff Cooper
Carmel Waste Water Treatment Plant
9609 Hazel Dell Parkway
Indianapolis, IN 46280
INVOICE# ;DATE TOTAL DUE, DUE DATE, TERMS J ENCLOSED
1181 01/09/2018 $244.85 01/09/2018 Due on receipt
PO NUMBER
DATE +ACTIVITY ACTIVITY QTY RATE=i AMOUNT
12/20/2017 ALI Certified Heavy Duty 18,0001b 4 post 1 89.951 89.95
Inspections
01/04/2018 Lift Operator Lift Operator Safety Material 1 55.00 55.00
Safety Materials
01/20/2018 ALI Certified Light Duty Wheels free device 21 49.95 99.90
Inspections
BALANCE DUE $244.85'5
Payment can be sent to the following address:
LIFT INSPECTION SERVICES
4203 ANDOVER PARKWAY
WESTFIELD, IN 46062