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156966 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 360918 Page 1 of 1 q ONE CIVIC SQUARE AWARD FACTORY CHECK AMOUNT: $77.95 CARMEL, INDIANA 46032 PO BOX 430 TOPEKA IN 46571 CHECK NUMBER: 156966 CHECK DATE: 3/5/2008 D EPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION ,1125 4347500 0264525 -IN 77.95 GENERAL INSURANCE Customer INVOICE iAward Factory 1703 E. Monroe Street INVOICE 0264525 -IN Goshen IN 46528 t INVOICE DATE: 02/07/2008 Phone: 574 -534 -9850 PAGE: 1 CUSTOMER NO: 01- CARCLA CUSTOMER P.O. SOLD TO: SI-IIP TO: CARMEL -CLAY PARKS REC DEPT CARMEL -CLAY PARKS REC DEPT MICHAEL KLITZING, ASST. DIRECT MICHAEL KLITZING, ASST. DIRECT 1411 EAST 116TH STREET 1411 EAST 116TH STREET CARMEL, IN 46032 CARMEL, IN 46032 ORDER DATE SHIP DATE SHIP VIA FOB TERMS 1/22/2008 1/28/2008 REG UPS NET 30 DAYS ORDERED SHIPPED ITEM NO. DESCRIPTION PRICE AMOUNT Discount °/4 1 1 APLAQUE RT PLAQUE P4151GN 71.0000 71.00 WH: 050 CE;IVED FEB 1 1 2008 BY: 241.( Net Invoice: 71.00 Shipping /Handling: 6.95 Sales Tax: 0.00 Invoice Total: 77.95 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL r 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. Award Factory Terms 1703 E. Monroe St. Goshen, IN 46528 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/7/08 0264525 -IN IPRA Recognition plaque 77.95 Total 77.95 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 Voucher No. Warrant No. Award Factory Allowed 20 1703 E. Monroe St. Goshen, IN 46528 In Sum of 77.95 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 4125 0264525 -IN 4347500 77.95 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 29 -Feb 2008 Signature 77.95 Aunt Director Cost distribution ledger classification if Title claim paid motor vehicle highway fund