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193045 12/22/2010 voided-reissue in 2011 CITY OF CARMEL, INDIANA VENDOR: 362272 Page 1 of 1 ONE CIVIC SQUARE BUSINESS FURNITURE, LLC. CARMEL, INDIANA 46032 4894 RELIABLE PARKWAY CHECK AMOUNT: $7,362.48 CHICAGO IL 60686 -0048 CHECK NUMBER: 193045 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4463000 24132 389926 6,862.48 MISC FURNITURE 1120 4350100 24132 389926 500.00 MISC FURNITURE ATTENTION!! OUR REMITTANCE ADDRESS HAS CHANGED!! Business Furniture LLC Invoice 6102 Victory Way PLEASE REMIT TO Indianapolis, IN 46278 Business Furniture, LLC Business Furniture PO E30X 556300 317.216.1600 Page 1 of 2 Dept No 129 800.774.5544 http://www.businessfurnitureindy.com Louisville, KY 40285-6300 FAX 317.216.1601 Aw M 16VOIC k' E 121. Irl, N ce' 4 314'M epresen a ivelpgrip, '1i4 'A Num '.'Cdit6' ir'Ordl6t,': P!�C!qr, '4 Z­ W'15A �M*IMK. Gco 389926 11/30/10 24132 211261 11/29/10 JOLYNNE WILHOIT SOLD TO: ACCOUNTS SHIP TO: MATT HOFFMAN CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE Carmel, IN 46032 Carmel, IN 46032 P: 1.317.517.2616 P: 1,317.517.2606 Due Date: 12/30/2011 Terms: NET 30 DAYS CFIRE 180499 R_ t f V�ft -RUM 41� 'M. �T `9 i t N ti6n a a og, Amoun I um er� .1, escrip Unit �%qct I e mN_ uanti� V UT 'W;� 1i T 4 P Mlclq Invoice Messages This is a Partial Billing All invoices are subject to 1 1/2% monthly finance charge after terms. A 30% restocking fee will be assessed for all non-customized returns. 1 7.00 TS5TLTD3072 STEELCAS 139.59 977.13 Top-Rectangular,Low Pressure Laminate, 30x72 EDGE :6678 MARBLED CHERRY TOP-SURF:267L MARBLED CHERRY V2 LPL 2 7.00 TS4L27PG4 STEELCAS 160.27 1,121.89 Legs-Post, 27h, Package/4 LEGS :7207 BLACK OPTIONS OPTIONS LEGS OPT OPT:LEGS OPTION FIXED STD:FIXED LEGS CAST OPT *OPT:OPTIONAL ON LEGS LEVELERS STD:LEVELERS 3 7.00 TSATRC72 STEELCAS 41.16 288.12 Channel-Reinforcing, 72 4 16.00 TS31902 STEELCAS 248. 4 V Chair 319, Full Back, Swivel Tilt, Mechanical, Plastic Open Arms Ord:20 B/0:2 5 1.00 JOB BFCINSTA 500.00 500.00 LABOR TO SET TABLES AND CHAIRS IN PLACE AND REMOVE TRASH DURING NORMAL BUSINESS HOURS ATTENTION!! OUR REMITTANCE ADDRESS HAS CHANGED!! Business Furniture LLC Invoice 6102 Victory Way PLEASE REMIT TO, Indianapolis, IN 46278 Business Furniture, LLC Business Furniture PC Box 856300 317.216.1800 Page 2 of 2 Dept No 129 800.774.5544 http-://www.businessfurnitureindy,com Louisville, KY 40285-6300 FAX 317.216,1601 W 'R" UV A ,'Nu S nibe�u 6 to" Qt0qr.Nqmber,'1. N Ell& M 389926 11/30/10 24132 211261 11/29/10 JOLYNNE WILHOIT MUM um eeiF/'rQescri'0ti6h `,,01 Y N .l L uiihtit This is a Partial Billing *complete 11/29/10 ART B* Sub Total 7,362.48 INDIANA SPLES TAX EXEMPT 0.00 Please P This Amount: 7,362.48 *******End of Invoice VOUCHER NO. WARRANT NO. ALLOWED 20 Business Furniture, LLC. IN SUM OF 6102 Victory Way Indianapolis, IN 46278 $7,362.48 ON ACCOUNT OF APPROPRIATION FOR 1 Carmel Fire Department Pd#P6ept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 24132 389926 102 630.00 $6,862.48 1 hereby certify that the attached invoice(s), or 24132 389926 43- 501.00 $500.00 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 DEC 2 a 2010 I' 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 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 389926 $6,862.48 389926 $500.00 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