HomeMy WebLinkAbout197286 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 359067 Page 1 of 1
0 ONE CIVIC SQUARE LINE X OF INDY CHECK AMOUNT: $144.00
CARMEL, INDIANA 46032 1601 COUNTRY CLUB ROAD
INDIANAPOLIS IN 46234 CHECK NUMBER: 197286
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 16609 144.00 REPAIR PARTS
PRCTECTIVE.COATI#) of In Invoice
Phone 317 -585 -0123 Indianapolis, IN 46268 Date Invoice
Fax 317 273 -9815 4/26/2011 16609
E -mail linexofmdv(aJhotmail.com www.Linex- indy.com
Billing Customer
Carmel Street Dept.
Jeff Stuart
3400 W. Main St
Carmel, 1n 46074
Year/ Make/ Model Color Vin PO
Quantity Item Code Description Amount
1 E- Custom Work Plate front back 144.00
Keep invoice -w r as proof of purchase. Warranty is void without proof of purchase. Sales Tax (7.0 $0.00
Send Payment To:
t601 Country Club Rd
Indianapolis IN 46234 Total
$144.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Line -X of Indy
IN SUM OF
1601 Country Club Road
Indianapolis, IN 46234
$144.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member.
2201 16609 42- 370.00 $144.00 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
1Thursda yMay 05, 2011
Street CommissidKer
e hnru I ea ii, I l JOF- t%
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))
04/26/11 16609 $144.00
1 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