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186521 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 360414 Page 1 of 1 ONE CIVIC SQUARE SUPER LAUNDRY CHECK AMOUNT: $110.45 CARMEL, INDIANA 46032 2450 N SHADELAND AVE INDIANAPOLIS IN 46219 CHECK NUMBER: 186521 CHECK DATE: 6/912010 DEPARTMENT ACCOUNT PO NUM INVO NUMBER AMOUNT DESCRIPTIO 1093 4238900 SLIMWO81891 110.45 OTHER MAINT SUPPLIES ;..A. Super Laundry Equipment Corp. dba Laundry City Equipment 4 Pe 2450 N. Shadeland Ave. Invoice Number SLI- MWO81891 R Y INDIANAPOLIS, In 46219 Phone (800) 622 4480 Invoice Date: 05/19/10 FAX: Fax (317) 783 -6399 1 www.superlaundry.com Page: 1 MAY 4 2010 INVOICE Job Name: Bill, CARMEL CLAY PARKS REC Ship CARMEL CLAY PARKS REC To: 1411 E 116TH ST, To: 1411 E 116TH ST. CARMEL, IN 46032 CARMEL, IN 46032 Customer ID C -MW- 000985 Ship Via P.O. Number Ship Date 05/19/10 Ref No. Due Date 06/18/10 Our Order No. OTC- MW00030330 Terms Net 30 Days SalesPerson BRADLEY HAYTON Contract No: Project Mgr: Item /Description Unit Order Qty Quantity Unit Price Total Price 169515 SCREEN LINT -W /FRAME- TD50175 -WA SCO Each 2 2 51.73 103.46 SHIPPING REVENUES 1 1 6.99 6.99 Purchase Description P.O. P or b G.L. Buda Line escr Purchaser Date Approval Date Amount Subject to Amount Exempt Subtotal: 110.45 Sales Tax from Sales Tax Invoice Discount: 0.00 0.00 110.45 Total Sales Tax: 0.00 Total: 110.45 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. 360414 Super Laundry Equipment Corp. Terms 2450 N Shadeland Ave Indianapolis, IN 46219 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/19/10 SLIMWO81891 Dryer lint screens 110.45 Total 110.45 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, 360414 Super Laundry Equipment Corp. Allowed 20 2450 N Shadeland Ave Indianapolis, IN 46219 I n Sum of 110.45 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept I 1093 SLIMWO81891 4238900 110.45 1 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 3 -Jun 2010 Signature 110.45 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund