HomeMy WebLinkAbout167250 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM EAST CHECK AMOUNT: $915.18
CARMEL, INDIANA 46032 6522 ST ROAD 22 8 3E
WILMINGTON OH 45177 CHECK NUMBER: 167250
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 86120 915.18 REPAIR PARTS
i
AGRO CHEM EAST 86
x522 ST F►TE. 22 3E SaleSp6rSOn
W ilmington, QH 45111 Dat2 f
(937) 584 4645 17.JI Sp1•
FAX: (937) 584 -2642
SOLD 70 �t SHIP TO
M OO 01
1 r/(j V &07q
Your Order No. Date Shipped Shipped Via Foe Point Terms
UPS l 2n V A7 4 NET 30
Qty Qty Qty Unit Extension
Ordered Shipped B/O Part Number Description Price Price
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Q� /8
CfiEDIT CARD Exp. Date 3 Digit
31`1 33 2 �'e 5—
Customar's PhtttltaMo.
Signature Date
-i i rrara i rr i i Tr n i 7LO i rC T i ctJ7 1. rnu nl jnw I.tnl ,j -j 00073_ 1 T _,)mn
VOUCHER NO. WARRANT NO.
ALLOWED 20
Agro Chem East
IN SUM OF
6522 St. Rte 22 3E
Wilmington, OH 45177
$915.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 86120 42- 370.00 $915.18 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
Wednesday, December 17, 2008
r^
Street 5%F9missioner
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))
12/17/08 86120 $915.18
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