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191567 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 360714 Page 1 of 1 ONE CIVIC SQUARE BUD'S ENGRAVING CHECK AMOUNT: $129.45 CARMEL, INDIANA 46032 13482 GYPSUM WAY FISHERS IN 46038 CHECK NUMBER: 191567 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 604 5023990 100796 129.45 2308.00 Bud's Engraving Invoice 13482 Gypsum Way Fishers, TN 46038 Date Invoice P Federal ID# 26- 1668271 Phone: (888) 736 -7687 0 125 /2010 100746 Fax: (888) 381 -0710 Bill To Ship To Carmel Water Utilities Csrmel Water Utilities Plant 45 Attn: Accts. Payable Attn: KenR 3450 W. 131st Street 5484 E. 131st St. Westfield, IN 46074 Carmel, IN 46033 P.O. Number Terms Rep Ship Via F.O.B. Project KR10221.0 Net 30 MY 10 /25/2010 US Mail Quantity Item Code Description Price Each Amount 1 One Lot Engraved plates 123.50 123.50T I Shipping Handling Shipping Handling 5.95 5.95T Sales Tax 0.00% 0.00 Please Note: Our address has changed. The new address is: Buds Engraving 13482 Gypsum Way Fishers, IN 46038 Remember, you can email us Bud a*BudsEngraving.com Total $129.45 VOUCHER 103230 WARRANT ALLOWED 004400 IN SUM OF BUD'S ENGRAVING (Formerly A YkcLu g 13462 GYPSUM WAY FISHERS, IN 46038 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 100796 02- 2308 -00 $129.45 Depreciation Voucher Total $129.45 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 004400 BUD'S ENGRAVING (Formerly A Young Enterpri! Purchase Order No. 13482 GYPSUM WAY Terms FISHERS, IN 46038 Due Date 11/3/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/3/2010 100796 $129.45 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date 0'ffer