HomeMy WebLinkAbout196992 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: T356235 Page 1 of 1
ONE CIVIC SQUARE C J WELL DRILLING CHECK AMOUNT: $1,530.00
CARMEL, INDIANA 46032 PO Box 747
BROWNSBURG IN 46112 CHECK NUMBER: 196992
CHECK DATE: 4126/2011
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 H9536 1,530.00 EQUIPMENT REPAIRS M
C &J Well Drilling Company Invoice
P.O. Box 747 Date Invoice
Brownsburg, IN 46112
(317) 892 -2100 4/5/2011 H -9536
Bill To Job Description
Carmel Clay Parks 5100 E. 1 16th St.
1411 E. 1 16th St.
Carmel, IN 46032
Terry Myers 442 -8517
Terms
Net 15
Description Qty Rate Amount
1/2 H.P. 1 15 V Grundfos Stainless Steel Pump 1,600.00 1,600.00
50 ft. Wire 50 2.00 100.00
10% Discount per Josh 170.00 170.00
Please return a copy of your.tax exempt form.
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Please return the enclosed yellow copy with your
payment. If you would like to pay by credit card e }aa jese y oan
d
please call the office. Thank You! 9
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Purchase TO TM uogdposea
Description �rtfsa eseyoand
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G.L. L435 0 C5
Budget
LineDescrMU P lS i BY
Purchaser ate
Date
Approval
Thank you for your business. o
Sales Tax (7.0 �o.cio
Atty. /Collection fees plus 1.5% interest per month charged on Total $1,530.00
balance. Lien may be filed on property if invoice isn't paid upon
completion. $500 fee added when lien's filed. Payments /Credits $0.00
Balance Due $1,530.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
C J Well Drilling Company Terms
P.O. Box 747
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
415111 H9536 Well drilling 28391 1,530.00
Total 1,530.00
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 -1.5
20_
Clerk- Treasurer
Voucher No. Warrant No.
C J Well Drilling Company Allowed 20
P.O. Box 747
Brownsburg, IN 46112
In Sum of
1,530.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 H9536 4350000 1,530.00 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
21 -Apr 2011
&Jy0' Yt f?Zf
Signature
1,530.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund