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192217 11/23/2010 °�c• CITY OF CARMEL, INDIANA VENDOR: 00353396 Page 1 of 1 0 ONE CIVIC SQUARE R V HALLAM PLUMBING CO INC CHECK AMOUNT: $367.50 CARMEL, INDIANA 46032 180 S CHERRY STREET WESTFIELDIN 46074 CHECK NUMBER: 192217 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350100 21449 367.50 BUILDING REPAIRS MA R.V. Hallam Plumbing Co., Inc. Date Invoice 1,80 South Cherry Street 10/11/10 021449 Westfield, IN 46074 Phone: 317 -846 -8936 Fax:317 -896 -1031 page 1 License #CO89200210 Billed To: Carmel Clay Parks Department Job: 1411 E 116TH 1411 E. 116th Street Mechanic: CRAIG Cust Ph: 317 -571 -4144 Carmel, IN 46032 Fax: 5714143 Cell: 710 -5671 Description of Work: Day Work Continue snaking drain from toliet in office until open. Reset toliet, flush lots of water. Removed many tampons from drain. Standard Pricing $422.63 P'referred Pricing $367.50 1 Total $367.50 Purchase Descriptio P `fO77 P or G.L. 146 4C3 010 0 Budget A /y� ,l�fD f�f Line gsc Purchaser i Date r Approval Date l Customer Copy to ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 00353396 R V Hallam Plumbing Co., Inc. Terms 180 S. Cherry Street Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10/11/10 21449 Plumbing repairs AO 24077 367.50 Total 367.50 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 00353396 R V Hallam Plumbing Co., Inc. Allowed 20 180 S. Cherry Street Westfield, IN 46074 In Sum of$ 367.50 ON ACCOUNT OF APPROPRIATION FOR 101 -General fund PO# or INVOICE NO. CCT #iTITLE AMOUNT Board Members Dept 1125 21449 4350100 367.50 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 18 -Nov 2010 Signature 367.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund