HomeMy WebLinkAbout332615 11/21/18 {n�_c�gM '
/ CITY OF CARMEL, INDIANA VENDOR: 00350523
® ONE CIVIC SQUARE APPARATUS SERVICE CORP CHECK AMOUNT: $*******376.00*
s. CARMEL, INDIANA 46032 5546 ELMWOOD CT CHECK NUMBER: 332615
v,�,__^/. INDIANAPOLIS IN 46203 CHECK DATE: 11/21/18
ITON L�'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 30701 376.00 OTHER EXPENSES
VOUCHER NO. 183375 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 350523 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
APPARATUS SERVICE CITY OF CARMEL
5546 ELMWOOD CT An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46203 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units,price per unit,etc.
Payee
376.00 350523 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR APPARATUS SERVICE Terms
Carmel Water Utility 5546 ELMWOOD CT Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46203
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
30701 01-6360-04 $376.00 and received except 11/13/2018 30701 $376.00
! J
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Invoice
DATE INVOICE
5546'ELMN'VOOn CT.
IND ITANAP.OLIS..;IN 46203_ 10%18/201=8 30701
BILL TO SHIP TO
-C-ARn-WKSTE TER"
CARMEL WASTE WATER 1
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
P.O. NO. TERMS DUE DATE. REP
Bt zow �Tcicl� Net 30 11/17/2018 JB
ITEM QTY DESCRIPTION U/M RATE AMOUNT
FLOW TEST 8 AIR MASK FLOW TEST 47.00 376.00
FLOW TESTING OF SOBA
Sales Tax (0.00) $0.00
E-MAIL ADDRESS: Total $376.00
ibre.nner@donleysa.fety.com
Phone(3 :7) 78624:9.1
Fax (317) 786-2532
PACKING SLIP Ng 42855
APPARATUS SERVICE
5546 Elmwood Ct.
Indianapolis, IN 46203
(317) 786-2491
SHIP TO: r-A
CLIS. NO. SALESMAN DATE
ORDER SHIPPED B.C. DESCRIPTION
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