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191134 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1 ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC i CHECK AMOUNT: $276.66 CARMEL, INDIANA 46032 PO BOX 9799 a FT WAYNE IN 46899 -9799 CHECK NUMBER: 191134 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 20060 276.66 REPAIR PARTS Brown Equipment Co., Inc. Invoice 20060 P O Box 9799 Date 10/18/2010 Fort Wayne IN 46899 -9799 Phone 260/ 747 -2312 Bill To Ship To CARMEL STREET DEPT. CARMEI, STREET 17E1 3400 W. 131 S'1' STRF.,1 T 3400 W. 131 S'I STREET WESTFIELD. IN 46074 WESTPIELD_ IN 46074 Packing List P.O. Number Terms Salesperson Ship Date Ship Via 5727 GARY NET 10 JOE 10/18/2010 UPS Quantity Item Code Description Price Each Amount 1 254 -134 SOLENOID VALVE 268.63 268.63 1 FREIGHT 8.03 8.03 Sales Tax (7.0%) 0.00 Total $276.66 VOUCHER NO. WARRANT NO. ALLOWED 20 Brown Equipment Co. Inc. IN SUM OF P. O. Box 9799 Foit Wayne, IN 46899 -9799 $276.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO ACCT #!TITLE AMOUNT Board Members 2201 20060 42- 370.00 $276.66 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 1 Thursday, October 21, 2010 r A/ t, t Street Commissio r v treet 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)) 10/18/10 20060 $276.66 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 2Q Clerk- Treasurer