HomeMy WebLinkAbout180736 12/30/2009 c CITY OF CARMEL, INDIANA VENDOR: 359344 Page 1 of 1
ONE CIVIC SQUARE AYERS BACKFLOW CHECK SERVICE
2 0 BENNETT ROAD
CARMEL, INDIANA 46032 CHECK AMOUNT: $220.00
CHECK NUMBER: 180736
YL 1 00 CARMEL IN 46032
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350100 213565 90.00 BUILDING REPAIRS MA
1047 4350100 213566 130.00 BUILDING REPAIRS MA
213565
INVOICE
SOLD TO SHIPPED TO
CAA.,./Pli„ 6 eL arAco, Ayers Backflow Check Ser.
ADDRESS ADDRESS 20 Bennett Rd.
C f/l'AX PR- 1-&-- Carmel IN 46032
CITY, STATE, ZIP CITY, STATE, ZIP 5
.'60 3 "z_ 575-0782
CUSTOMER'S ORDER SALESPERSON TERMS VIA F 0 B DATE
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INVOICE
SOLD TO:
L ito/itiej< sHIPP E A T iers Backflow Check Ser.
ADDRESS 7 ADDRESS 20 Bennett Rd.
9//' lie 7-77 Carmel, IN 46032
CITY, STATE, ZIP CITY, STATE, ZIP
C A 6b3 2_ 575-0782
CUSTOMER'S ORDER 7 1 SALESPERSON TERMS VIA. F 0 B. DATE
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Purchase
DescriPlion•ZZ BY:
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Purchaser Date
Approval Date
edam 8140
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show, kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
359344 Ayers Backflow Check Ser Terms
20 Bennett Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/3/09 213565 Backflow preventive test 90.00
12/3109 213566 Backflow preventive test 130.00
Total 220.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
359344 Ayers Backflow Check Ser Allowed 20
20 Bennett Rd
Carmel, IN 46032
In Sum of$
220.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #ITITLE AMOUNT
Dept
1047 213565 4350100 90.00 I hereby certify that the attached invoice(s), or
1047 213566 4350100 130.00 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
23 -Dec 2009
Signature
220.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund