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184491 04/14/2010 a- CITY OF CARMEL, INDIANA VENDOR: 00353245 Page 1 of 1 ONE CIVIC SQUARE SUTTON- GARTEN CARMEL, INDIANA 46032 901 N. SENATE AVENUE CHECK AMOUNT: $78.12 INDIANAPOLIS IN 46202 CHECK NUMBER: 184491 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 328099 78.12 CONT SVS- OTHER -S PLAN sLrrTON GARTEN CYLINDER RENTAL INVOICE INVOICE NUMBER PAGE INVOICE DATE CUSTOMER PURCHASE ORDER NUMBER HNDLCD TERR N 328099 1 03/31/10 03758 JEFF COOPER 1 REMIT TO SUTTON- GARTEN CO. s 0 901 N. SENATE AVE. L INDIANAPOLIS, IN. 46202 -3000 D B (317) 264 -3236 v B CARMEL WASTEWATER TREATMENT PLANT s CARMEL WASTEWATER TREAT. PLANT L SUITE 110 i 9609 HAZELDELL PKWY L 760 3RD AVE. SW r CARMEL IN 46280 o CARMEL IN 46032 0 tNV SHIPPER INVOICE EGINNIN CYLINDERS CYLINDERS ENDING YLINDERS DAYS CYLINDER TYPE CYL ITEM NUMBER NUMBER NUMBER DATE BALANCE SHIPPED RETURNED BALANCE LEASED USED DAYS RATE AMOUNT AC k BA.LANC FORWARD 3 A ACET CY R A TOTALS 3 0 0 3 0 93 .280 26.04 MX a1025 BALANCE FORWARD 1 K C L R K TOTALS 1 0 0 1 0 31 .280 8.68 MX 3STAR BALANCF FORWARD 1 OX s BALANCE FORWARD 4 S C L R S TOT S 5 0 0 5 0 155 .280 43.40 SUMMARY OF CYLINDER BALANC S R A A ACET CYI, 3 0 0 3 0.. 93 .280. 26.04 K' K C L 1 0 0 1 0 31 .280 8.68 S S C L 5 0 0 5 0 155 .280 43.40 TAX: .00 TOTAL VALUE OF CYLINDERS TOTAL! 1s1s.5o 78.12 VOUCHER 105197 WARRANT ALLOWED 00353245 IN SUM OF SUTTON GARTEN CO. 901 N. Senate Avenue Indianapolis, IN 46202 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 328099 01- 7362 -06 $78.12 1 Voucher Total $78.12 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form.No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00353245 SUTTON- GARTEN CO. Purchase Order No. 901 N. Senate Avenue Terms Indianapolis, IN 46202 Due Date 4/7/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/7/2010 328099 $78.12 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 f Date Officer