HomeMy WebLinkAbout195981 03/29/2011 "c• CITY OF CARMEL, INDIANA VENDOR: 365205 Page 1 of 1
ONE CIVIC SQUARE JACK LAURIE FLOORS LLC
CARMEL INDIANA 46032 1828 SOUTH ANTHONY BLVD CHECK AMOUNT: $300.00
FT WAYNE IN 46803
CHECK NUMBER: 195981
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUM BER AMOUNT DESCRIPTION
1120 4350100 A11 -169A 300.00 BUILDING REPAIRS MA
JACK LAURIE COMMERCIAL FLOORS Page 1
4250 WEST 99TH STREET
SUITE 120 D
CARMEL, IN 46032
Telephone: 317 -704 -1100 Fax: 317-704-1101
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INVOICE D
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPT CRPT RPR
3242 E. 106TH STREET 2 CIVIC SQUARE
CARMEL, IN .46033 CARMEL (E), IN 46032
Am
03112111_ 317- 571 263.1 F.11 -160A-
PROJECT CONTACT: BOB VANVOORST
SCOPE: PERFORM CARPET REPAIRS USING CUSTOMERS OWN CARPET MATERIALS
WHEN PROCESSING PAYMENT, PLEASE REFERENCE INVOICE: All -169A
TERMS: NET 10 DAYS
-03/14/11 11:24AM
Sales Representative(s):
ROBERT KALEM
TODD FOLDS
Thank you for your patronage
REMIT TO:
lock -Laurie Floors; L -LC INVOICE TOTAL: $300.00
1828 South Anthony Blvd.
Fort Wayne, In. 46803 Less Payment(s): 0-00
BALANCE DUE: $300.00
VOUCHER NO. WARRAN NO.
ALLOWED 20
Jack Laurie Floors, LLC
IN SUM OF
1828 South Anthony Boulevard
Ft. Wayne, IN 46803
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #(TITLE AMOUNT Board Members
1120 I A11 -169A j 43- 501.00 $300.00 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
MAR 2 8 2011 i
r
l
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))
Al 1-169A $300.00
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