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192314 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364859 Page 1 of 1 ONE CIVIC SQUARE SALTZMAN GUN WORKS CARMEL, INDIANA 46032 3896 S 400 WEST CHECK AMOUNT: $70.00 TIPTON IN 46072 CHECK NUMBER: 192314 CHECK DATE: 11/24/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350000 27064 318 70.00 RIFLE REPAIRS Saltzman Gun Works, Inc. 3896 South 400 West r° UL'° IM0. Tipton, IN 46072 765- 675 -2040 Invoice 318 Date 11/8/2010 Bill To Ship To Carmel Police Dept. Carmel Police Dept. Teresa Anderson Teresa Anderson 3 Civic Square Carmel,IN 46032 3 Civic Square Carmel, IN 46032 Manufacturer/ Modell Serial Number /Finish Magazine Case Remington 700 C6707618 No Description Qty Rate Amount Cut and recrown muzzle to 20 inches 1 70.00 70.00 Adam Miller P.O. 427064 Subtotal $70.00 Sales Tax (7.0 $0.00 Payments /Credits $0.00 Please remit to above address. Total $70.00 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Saltzman Gun Works, Inc. Purchase Order No. XZM= 27064F 3896 South 400 West Terms Tipton, IN 46072 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11 8 1.0 318 a ent for rifle repairs 11/13/1 321 payment for rifle repairs 185.00 Total 255.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Saltzman Gun Works, Inc. IN SUM OF 3896 South 400 West Tipton, IN 46072 )ZOOM 255.00 ON ACCOUNT OF APPROPRIATION FOR police generalf and Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT_ I hereby certify that the attached invoice(s), or 2 318 500 70.00 bill(s) is (are) true and correct and that the 27064F 321 500 140.00 materials or services itemized thereon for 1110 321 500 45.00 which charge is made were ordered and received except November 16 2 0 10 Signature Chief' of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund