HomeMy WebLinkAbout193702 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 363634 Page 1 of 1
ONE CIVIC SQUARE CLEARY VACUUM COMPANY, INC CHECK AMOUNT: $58.95
CARMEL, INDIANA 46032 7035 E 96TH STREET
INDIANAPOLIS IN 46250 CHECK NUMBER: 193702
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 12990 58.95 EQUIPMENT REPAIRS M
Cleary Vacuum Company
7035 E. 96th St. Suite R
Indianapolis, IN 46250
(317) 570 -3910
CUSTOMER: PAYMENT TYPE: DATE: 1/6/2011
City of Carmel Eire Dept. Account
2 Civic Square TERMS: 30 Days
Carmel, In 46032
(317) 571 -2600
CUSTOMER 648 INVOICE M 12990
QTY PART DESCRIPTION PRICE AMOUNT
4 BSTRIPS Brush Strip (Black, 4.00 $16.00
1 A20 -R2 BeltA20- R2 3.00 $3.00
2 USED000 Filter 7.5 $15.00
1 16983 Repair Claim #16983 0.00 $0.00
Subtotal: $34.00
Tax:
Labor: $24.95
Total: $+63:33`
Pay total upon receipt. Reference invoice number above. Send Payment to Address Above.
Signature of Receipt:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cleary Vacuum Company, Inc.
i IN SUM OF
7035 East 96th Street
Indianapolis, IN 46250
$58.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 12990 43- 500.00 $58.95 1 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
JAN 18 201j
d
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))
12990 Sta. 45 Vacuum $58.95
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