HomeMy WebLinkAbout331222 10/17/18 %'��pz'. CITY OF CARMEL, INDIANA VENDOR: 00350781
�g + ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $*******192.00*
49� ���; CARMEL, INDIANA 46032 17041 WESTFIELD PARK ROAD CHECK NUMBER: 331222
.y��TON�, WESTFIELD IN 46074 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 2987 192.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350781 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PICKETT'S PLACE v IN SUM OF$ CITY OF CARMEL
` b4i l �g -i t�d An invoice or bill to be properly itemized must show:kind of service,where performed,dateses rice
�f,0 4 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
1.�
Payee
$192.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
2987 42-370.00 $192.00 1 hereby certify that the attached invoice(s),or 10/9/18 2987 Repair Parts $192.00
2201 2201 2201 2201
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, October 16,2018
Huffman, Dave
Director
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
Pickett's Place INVOICE
717041/ Westfield Park Rd. Invoice Number:
Westfield, IN 46074 2987
VOiCe: (317)763-1168 Invoice Date:
Sold To: Fax: Oct 9, 2018
Page
1
Carmel Street Department
3400 West f3fst Street
Westfield, IN 46074
USA
Customer ID Customer PO Shipping Method Payment Terms Due Date
MIKE IN SHOP Cust. Pickup Net 30 Days 11/8/18
Quantity Item Description Unit Price Amount
16.00 2"X 2"X 1/4"STEEL 3/4 HOLE IN MIDDLE 6.00 96.00
16.00 2"X 2"X 1/4"STEEL 3/4 SLOT 6.00 96.00
Subtotal 192.00
Sales Ta)
Total Invoice Amoui 192.00
Check/Credit Memo No: Payment/Credit Applie
TOTAL 192.00