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191136 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 360714 Page 1 of 1 ONE CIVIC SQUARE BUD'S ENGRAVING CHECK AMOUNT: $14.75 CARMEL, INDIANA 46032 PO BOX 147 FISHERS IN 46038 CHECK NUMBER: 191136 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239099 100779 14.75 OTHER M7SCELLANOUS Bud's Engraving Invoice 13482 Gypsum Way Fishers, IN 46038 Date invoice Phone: (888) 736 -7687 Federal ID# 26- 1668271 10/8/2010 100779 Fax: (888) 381 -071.0 Bill To Ship To Carmel Fire Department Carmel Fire Department Attn: Gary Carter Attn: Gary Carter 2 Civic Square 2 Civic Square Carmel, 1N 46032 Carmel, IN 46032 P.O. Number Terms Rep Ship Via F.038 Project Net 30 MY 10/8/201.0 US Mail Quantity Item Code Description Price Each Amount I Nameplate Engraved nameplate 2x10 gold/white 6.00 6,00 1 2x10 holder wall holder 6.00 6.00 1 Shipping Handling Shipping Handling 2.75 2.75 Please Note: Our address has changed. The new address is: Buds Engraving 13482 Gypsum Way Fishers, IN 46038 Remember, you can email us Bud @BudsEngraving.com Total $14.75 VOUCHER NO. WARRANT NO. ALLOWED 20 Bud's Engraving IN SUM OF 13482 Gypsum Way Fishers, IN 46038 $14. ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 100779 42- 390.99 $14.75 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 OCT 2 5 2010 Fire Chief 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 property 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)) 100779 $14.75 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