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HomeMy WebLinkAbout326095 06/12/18 1 Coq CITY OF CARMEL, INDIANA VENDOR: 372466 / ONE CIVIC SQUARE GURNEY J. BUSH, INC. CHECK AMOUNT: $*******160.00* CARMEL, INDIANA 46032 1456 OLIVER AVE. CHECK NUMBER: 326095 Ma;o„ INDIANAPOLIS IN 46221 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 197968 160.00 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 372466 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM of$ CITY OF CARMEL GURNEY J. BUSH, INC. 1456 OLIVER AVE. 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. INDIANAPOLIS, IN 46221 Payee $160.00 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 197968 43-501.00 $160.00 1 hereby certify that the attached invoice(s),or 6/5/18 197968 $160.00 1120 101 1120 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 Tuesday,June 05,2018 David Haboush Fire Chief 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 GURNEY J. BUSH; INC. - INVOICE PO.Box 21398 Indianapolis,IN 46221_ No.1097968 634-4844 _ DATE OF ORDER DRAIN DEPARTMENT CUSTOMER'S ORDER NO: PHONE IMECHANICHELPER STARTING'�TE l<�' BILL ,O ORDER TAKEN BY aDapEss ! v l ❑,REG. HRS. (._. ❑,O.T. HRS. CITY ` ❑ D.T. HRS. ❑ CONTRACT JOB NAME AND LOCATION TERMS: NET 30 DAYS.2,C� ftJ B�PHOPNE �I,, DESCRIPTION OF WORK: iJ �Gh c9"C 11 STOPPAGE IS DUE TO: J fJ 'D ROOTS ❑ HAIR & LINT S PAPER PRODUCTS ❑ IN STOOL ❑ BAD SPOT IN LINE ❑ SEPTIC TANK FULL ❑ GREASE BUILD-UP ❑ UNKNOWN - ❑ ❑ COMMENTS: V l/�.l ` C (J` F J W I-+ ` I ./ p Q n CA r A bk-- M) Th_eZ -1 C S ,+C ol SERVICE CHARGE EQUIPMENT CHARGE MFHOD OF PAYMENT: TOTAL MATERIALS © BILL ❑ CHECK ❑ CC ❑ CASH TOTAL LABOR DATE COMPLETED WORK ORDERED BY TAX TOTAL AMOUNT $s C�Z. I hereby acknowledge the satisfactory completion Sig at f of the above described work. } BMY SIGNATURE ON THIS INVOICE I WILL BE RESPONSIBLE FOR - PAYING ALL REASONABLE COST OF.COLLECTIONS,AND ATTORNEY FEES SHOULD THIS ACCOUNT BECOME OVER 60 DAYS DELINQUENT.