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187224 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 355456 Page 1 of 1 ONE CIVIC SQUARE BARDACH AWARDS 0 CHECK AMOUNT: $244.00 CARMEL, INDIANA 46032 910 BROAD RIPPLE AVE INDIANAPOLIS IN 46220 CHECK NUMBER: 187224 CHECK DATE: 7/712010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4359000 196255 244.00 SPECIAL PROJECTS 11111111111111111111111111f1 l l 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111III I II 111 1111 Sales Invoice 196255 T Customer ID HCOC1 4222 W. 86th Street Indianapolis, IN 46268 Page: 1 (317) 872 -7444 Phone (317) 872 -7481 Fax www.bardachawards.com Bill To: Ship To: CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 BUYER: SHARON KIBBE U5A CARMEL, IN 46032 571 -2483 Please return this portion with payment ,ivoice Date Purchase Order Terms Ship Via F.O.B. Sales Person Shi From Source 06128/2010 Net 30 Days PICKUP SARDACH... JB WH1 SO 179931 Order Qty Shipped Qty U.O.M. Item Number Item Status Unit Price Tax Extended Price Back Order Q ty Descript 2 2 EA NS Sale 85.00 N 170.00 k 0 9" DIA. LEAD CRYSTAL ANCONA BOWLS ETCHED 2 2 EA SIB Sale 12.00 N 24.00 0 ETCH 2ND PANEL ON BOWLS ABOVE 1 1 EA ARTFORSB Sale 50.00 N 50.00 0 ART SET UP FOR SANDBLASTING Non Taxable Subtotal 244.00 Taxable Subtotal 0.00 Shipping /Handling 0.00 Sales Tax 0.00 Invoice Total 244.00 VOUCHER NO. YVARR ANT NO. ALLOWED 20 Bardach Awards IN SUM OF$ 4222 W. 86th Street Indianapolis, IN 46268 $244.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1160 196255 43- 590.00 $244.00 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 Thursday, July 01, 2010 yor Title Cost distribution ledger classification if claim paid motor 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 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)) 06/28/10 196255 $244.00 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