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HomeMy WebLinkAbout332567 11/21/18 CITY OF CARMEL, INDIANA VENDOR: 366668 CHECK AMOUNT: $*******135.00* ONE CIVIC SQUARE PAC VAN i� CARMEL, INDIANA 46032 75 REMITTANCE DR#3300 CHECK NUMBER: 332567 CHICAGO IL 60675-3300 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER _ AMOUNT DESCRIPTION 1207 4350900 9988340 135.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 366668 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PAC VAN IN SUM OF$ CITY OF CARMEL 75 REMITTANCE DR#3300 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. CHICAGO, IL 60675-3300 Payee $135.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course 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 9988340 43-509.00 $135.00 1 hereby certify that the attached invoice(s),or 11/14/18 9988340 Storage Container $135.00 1207 101 1207 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 Monday, November 19,2018 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 Pa°-van Inc., Invoice Number 9988340 9155 Harrison Park Court Y4410 Indianapolis,IN 46216 Invoice Date 11/14/2018 ® Billing Inquiries: (866)613-8778 Due Date 12/14/2018 www.pacvan.com Sales and Service:(800)546-1050 Quote No. SFQ-447797 Payment Address Below Page 1 of 1 Bill Ship To City of Carmel DBA Brookshire Golf Club To City of Carmel DBA Brookshire Golf Club 12120 Brookshire Parkway Bob Higgins Carmel,IN 46033 Brookshire Golf 12120 Brookshire Parkway Carmel,IN 46033 - Custom&ID BROGO2-- — —- --- Customer PO Number SalesPerson Ron Loera Customer Job No. Local Office Pac-Van, Inc.-Indianapolis,IN Purchaser Bob Higgins Contract RC-0086761 Rental Rental Item/Description Serial No. From To Qty Unit Unit Price Sales Tax Total Price Contract:RC-0086761 20'Storage Container 2723577 11/14/18 12/11/18 1 115.00 115.00 Insurance Waiver 1 each 10.00 10.00 Property Tax Recovery Fee 1 each 10.00 10.00 Your current account balance as of today is Subtotal 135.00 $135.00 Sales Tax 0.00 Total 135.00 —_— — — — Amount Due if paid after 12/14%2018 148.50 ------------------------------------------------------- ---------------- --------- - --------------------------------------------------------------------------------------------------------------------------------------------------------- Invoice Number 9988340 Paying by check? Remit payments to: Invoice Date 11/14/2018 Pac-Van Inc. 75 Remittance Drive Suite 3300 Total 135.00 Chicago, IL 60675-3300 Amount Due if paid after 12/14/2018 148.50 This address is for PAYMENTS only. Please use the address and telephone numbers at the top for any other correspondence including insurance certificates and lien waivers. Please detach this portion and include with your payment. Paying by credit card or electronic check? www.pac-van.com/pay-online Thank you for your business! 9988340 135.00 BROG02 a 0 0