HomeMy WebLinkAbout321138 1/25/2018 ,Coq
CITY OF CARMEL, INDIANA VENDOR: 371909
ONE CIVIC SQUARE CITY OF WESTFIELD CHECK AMOUNT: $ 90.00
s. a CARMEL, INDIANA 46032 ATTN:CUSTOMER SERVICE CHECK NUMBER: 321138
2728 E.1 7.1 ST STREET CHECK DATE: 01/25/18
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WESTFIELD IN 46074
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
252 5023990 APP04873G 90.00 OTHER EXPENSES
3
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371909 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CITY OF WESTFIELD IN SUM OF$ CITY OF CARMEL
ATTN: CUSTOMER SERVICE An invoice orbill to be properly itemized mustshow:kind of service,where performed,dates service
2728 E.171 ST STREET rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
WESTFIELD, IN 46074
Payee
$90.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
APP048736 50-239.90 $90.00 1 hereby certify that the attached invoice(s),or 1/22/18 APP048736 $90.00
1120 252 1120 252
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,January 22,2018
U®r
David Haboush
Fire Chief
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
CITY F-Q
Invoice Number APP048736
in t I@lC�.
..INDIANAInvoice Date .1/5/2018
. . RECEIVED JAN 00�9 2 Page 1
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Bill-To Remit Payment To -
City of Carmel;Fire Dept City of Westfield
Attn: Michelle Harrington Attn:Customer.Service
2 Civic Square 2728 E. 171st St.
Carmel, IN 46032 Westfield, IN 46074
Customer ID CUST003198
Document No.
Internal Rep. Please include the-Invoice Number -
Terms- Due 30 days from invoice date on the memo.line of your check.
.Due Date 2/4/2018
Iter/Description Unit Quantity Unit Price Total Price
1-2-18 :- MRN#983435 1 90.00 90:00
Total 90.00
If you have any questions regarding this invoice, please contact Customer Service
at(317)804-3150.
Approved by State Board of Accounts for the City of Westfield,2013