333637 12/14/18 CITY OF CARMEL, INDIANA VENDOR: 372270
® ONE CIVIC SQUARE CANVAS VINYL CREATIONS, INC CHECK AMOUNT: $*******160.00*
CARMEL, INDIANA 46032 28801 N.SR19 CHECK NUMBER: 333637
SUITE 70 CHECK DATE: 12/14/18
ATLANTAIN 46031
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 160.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 372270 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CANVAS VINYL CREATIONS, INC IN SUM OF$ CITY OF CARMEL
28801 N. SR 19 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SUITE 70 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
ATLANTA, IN 46031
Payee
$160.00
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
0 42-370.00 $160.00 1 hereby certify that the attached invoice(s),or 11/12/18 0 Repair Parts $160.00
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, December 11, 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
CANVAS VINYL.
INVOICE71ONS
28801 North SR 19
Suite 70
BILL TO: Atlanta, IN 46031
(317)371-4227
CARMEL ST. DEPT
JIM/317-691-6725
Date Order# Sales Rep. FOB Ship Via Terms Tax ID
11/12/2018 COD
Quantity Description Unit Amount
Ordered
3 REPAIR 3 TRUCK BED COVERS $160.00,
Thank You for your Business!I
Subtotal
Tax
Balance
$160.00
Due
Received By: Date: