HomeMy WebLinkAbout191280 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 359067 Page 1 of 1
0 ONE CIVIC SQUARE LINE X OF INDY CHECK AMOUNT: $168.00
CARMEL, INDIANA 46032 7258 E 86TH STREET
INDIANAPOLIS IN 46250 CHECK NUMBER: 191280
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
2201 4237000 16331 168.00 REPAIR PARTS
Ind Invoice
S
7258 E 86th Street Date Invoice
Indianapolis, IN 46250
Phone 317- 585 -0123 www.line -x.com 10/4/201.0 16331
Fax 317 536 -3310
Billing Customer
Carmel Street Dept.
Jeff Stuart
3400 W, Main St
Carmel, In 46074
Year/ Make/ Model Color Vin PO
Quantity Item Code Description Amount
I E- Custom Work back truck tubes 168.00T
L AIV A
Keep invoice -work order as proof of purchase. Warranty is void without proof of purchase. Sale Te (7.0%)
Send Payment To:
1601 Countn Club Rd
Indianapolis IN 46234 Total $179.76
VOUCHER NO. WARRANT NO.
ALLOWED 20
Line -X of Indy
IN SUM OF
1601 Country Club Road
Indianapolis, IN 46234
$168.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
2201 16331 42- 370.00 $168.00 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, Op teb er 21, 2010
i
Street CommissioGer
FIreEi CoTtfe.:w! r
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))
10/04110 16331 $168.00
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