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160747 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00351251 Page 1 of 1 ONE CIVIC SQUARE ART OVATION CARMEL, INDIANA 46032 7615 SSR 267 CHECK AMOUNT: $384.60 BROWNSBURG IN 46112 CHECK NUMBER: 160747 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION '651 5023990 3999 384.60 OTHER EXPENSES V Art Ovation Invoice 7615 South SR 267 Brownsburg, IN 46112 Number: 3999 Date: June 04, 2008 Bill To: Ship To: City of Carmel Wastewater Utilities 3450 west 131 St. Westfield, IN 46074 PO Number Terms Sales Rep Ship Via Code Product ID Description Quantity Price Tax 1 Amount 4x6 Carmel City Flag 1.00 249.00 249.00 4x6 Indiana Flag 1.00 52.00 52.00 5x8 US Flag 1.00 83.60 83.60 a Sub -Total $384.60 State Tax 6.00% on 0.00 0.00 Total $384.60 Any questions concerning this invoice. Please feel free to call us at: (317) 769 -4301. Prescribed by State Board of Accounts Form'No.301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title Voucher No. Warrant No. r ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT.. ACCT. NO. l 5 CARMEL, INDIANA �Eq Favor Of 7(DI Total Amount of Voucher 191�) Deductions T Amount of Warrant Month of Yr VOUCHER RECORD Acct. No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and General O eration- Maintenance Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325