HomeMy WebLinkAbout181030 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 00353287 Page 1 of 1
0 ONE CIVIC SQUARE WESTFIELD FIRE DEPARTMENT
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CARMEL, INDIANA 46032 17535 DARTOWN ROAD CHECK AMOUNT: $100.00
WESTFIELD IN 46074 CHECK NUMBER: 181030
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4340702 100.00 SHOTS Sc INOCULATIONS
0 Westfield Fire Department
17535 Dartown Road
Westfield, IN 46074
Phone: 317 804 -3333
Fax: 317 804 -3395
Invoice Date: December 101 2009
Bill To: Authorization
Carmel Fire Department Chief Haboush
Attn: Accounts Payable
Two Civic Square
Carmel, IN 46032
Quantity [tern Units Description Discount Taxable Unit Price Total
4 Hepatitis B Vaccinations $25.00 $100.00
(2- Maners 2- McNair)
Subtotal
Tax
Shipping
Miscella-
Balance $100.00
Please send payment to:
Westfield Fire Department
17535 Dartown Road
Westfield, IN 46074
VOUCHER NO. WARRANT NO.
I ALLOWED 20
Westfield Fire Department
IN SUM OF$
17535 Dartown Road
Westfield, IN 46074
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT #[TITLE AMOUNT Board Members
1120 43- 407.02 $100.00 I hereby certify that the attached invoice(s), or
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
flFC 21 7000
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Fr:rrn No. 201 (Rev. 1905)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$100.00
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