HomeMy WebLinkAbout190855 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 190300 Page 1 of 1
ONE CIVIC SQUARE M R S, INC CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 P 0 BOX 488
as u HAWESVILLE KY 42348 CHECK NUMBER: 190855
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 93010 300.00 OTHER EXPENSES
Moffitt Re -Hab Service, Inc Invoice: 93010
PO Box 488
Hawesville, KY 42348
(270) 927 -8948
Sold Ship
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CITY OF CARMEL LIFT STATION LID
760 3RD AVE SW 9609 HAZEL DELL PARKWAY
SUITE 100 INDIANAPOLIS, IN 46280
CARMEL, IN 46032
Invoice
Account P.O. Num Ship Via Ship Date Terms Date Page
CITY CAR S12282 Net 30 9/30/10 1
Unit Extended
Item Quantit Description Price Price
1 LIFT STATION LID 300.00 300.00*
means item is non taxable Subtotal 300.00
Total $300.00
VOUCHER 106346 WARRANT ALLOWED
190300 IN SUM OF
Moffitt Rehab Services
P.O. Box 488
Hawesville, KY 42348
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
93010 01- 7200 -03 $300.00
Voucher Total $300.00
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
190300
Moffitt Rehab Services Purchase Order No,
P.O. Box 488 Terms
Hawesville, KY 42348 Due Date 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2010 93010 $300.00
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
Date fficer