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CITY OF CARMEL, INDIANA VENDOR: 00350062
ONE CIVIC SQUARE SCOTT OSBORNE CHECKAMOUNT: S*******282.51CARMEL, INDIANA 46032 19702 SIX POINTS ROAD CHECK NUMBER: 329597
SHERIDAN IN 46069 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 589091 282.51 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350062 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SCOTT OSBORNE IN SUM OF$ CITY OF CARMEL
19702 SIX POINTS ROAD An invoice or bill to be properly itemized must show:Idnd 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.
SHERIDAN, IN 46069
Payee
$282.51
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
589091 42-370.00 $282.51 1 hereby certify that the attached invoice(s),or 8/31/18 589091 Parts for Snow Plows $282.51
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
Friday,August 31,2018
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
BILL SHIP Invoice# 589091
TO Carmel Fire Department TO Carmel Fire Department
2 Civic Square 2 Civic Square Invoice Date August 29,2018
Carmel,IN 46032 Carmel,IN 46032
Customer ID
QTY DESCRIPTION UNIT PRICE TOTAL
2 KAR44191 Nuts $1.58 $3.16
2 KARMP 43987 Flat Washer $.60 $1.20
2 KARMP 42458-16 Lock Washer $.35 $.70
2 MK25132753 Truck Straps $103.80 $207.60
1 MK12AX127P150 Anti-Squeak Rubber $69.85 $69.85
Subtotal $282.51
Shipping
Please return the portion below with your payment. BALANCE DUE $282.51
REMITTANCE
Invoice# 589091
Amount Paid
Make checks payable to:
Scott K.Osborne
19702 Six Points Road
Sheridan,IN 46069