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HomeMy WebLinkAbout193481 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1 s 0 ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK AMOUNT: $600.00 INDIANAPOLIS IN 46256 CHECK NUMBER: 193481 CHECK DATE: 1/5/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4351100 27222 53938714683 600.00 CARWASH TICKETS 1510:3;,_ ind �cnr'a y.25'Nr g Road c ,,17 -572 -9250 9990ueryCashier, 12/29/10, 09:42 AM Shift 1, Empl 3070, Sale #53938714683 ,h DUPL .R -r 20 oEXP, }BK:,IN 64( 00 1 Book D)�scount 40.00 Subtotal 600.00 Sales Tax 0.00 Total 600.00 House Acct #1100 600.00 (AR) Thank you for your Mike's Carwash purchase! mikescarwash.com P CCustomer Name: Manager Name: i *Employee{ Book Discount On] y n ,dp�l 0 Associate Number: INDIANA RETAIL TAX EXEMPT PAGE C ity -of C rme i CERTIFICATE NO.0031 201 55 002 0 Y lys �i PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 27 3 gBACIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A(P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION December 21, 2010 car washh tickets VENDOR Mihhs' Caruash I mco SHIP To City of Carmel Police Department 10251 N. Hague Road 3 Civic Square Indianapolis, IN 46258 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 20 books Express carwash tickets 30000 600°00 Ufa y ;+r 11 I t� T Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1110 511 car cleaning PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY T HERE IS AN UNOBLU TEP,BALANCE IN SHIP REPAID. THIS APPRO S FFICIENTTO P QR ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 11 PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Asstibant Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 272 22 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO.-- ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 9 I hereby certify that the attached invoice(s), or 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_ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (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 Mikes Car Wash Purchase Order No. 10251 N Hague Rd Terms Indpls, IN 46258 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/29/10 53938714683 carwash tickets 600.00 Total 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 UCHER NO. WARRANT NO. ALLOWED 20 Ac es Car Was 10251 N Hague Rd IN SUM OF Indpls, IN 46258 600.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 27222F 53938714683 511 600.00 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 December 29, 20 10 Ass l� e of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund