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192771 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 360714 Page 1 of 1 ONE CIVIC SQUARE BUD'S ENGRAVING CHECK AMOUNT: $68.45 CARMEL, INDIANA 46032 13482 GYPSUM WAY o. FISHERS IN 46038 CHECK NUMBER: 192771 CHECK DATE: 12/15/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 100822 68.45 MATERIALS SUPPLIES Bud's Engraving Invoice 13482 Gypsum Way Fishers, IN 46038 Date Invoice Phone: (888) 736 -7687 Federal ID# 26- 16b8271 11/16/2010 100822 Fax: (888) 381 -071.0 Bill To Ship To Carmel Water Utilities Carmel Water Utilities Plant 45 Attn: Accts. Payable Attn: KenR 3450 W. 131st Street 5484 E. 131st St. Westfield, IN 46074 Carmel, IN 46033 r u P.O. Number Terms Rep Ship Via F.O.B. Project KRI11510 Net 30 MY 11/16 /2010 US Mail Quantity Item Code Description Price Each Amount 1 One Lot Engraved plates 62.50 6150T 1 Shipping Handling Shipping Handling 5.95 5.95T Sales Tax 0.00% 0.00 oe Please Note: Our address has changed. The new address is: Buds Engraving 13482 Gypsum Way Fishers, IN 46038 Remember, you can email us Bud @BudsEngravingxom Total $68.45 VOUCHER 103512 WARRANT EI ALLOWED 004400 IN SUM OF BUD'S ENGRAVING (Formerly A Young 13482 GYPSUM WAY FISHERS, IN 46038 pP �n NS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 100822 01- 6200 -03 $68.45 Voucher Total $68.45 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 12/6/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/6/2010 100822 $68.45 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 Date Officer