HomeMy WebLinkAbout198155 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 360376 Page 1 of 1
ONE CIVIC SQUARE INDUSTRIAL MAINTENANCE SOLUTIONg
s CARMEL, INDIANA 46032 PO BOX 318 CHECK AMOUNT: $307.70
WESTFIELDIN 46074
CHECK NUMBER: 198155
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 112129 307.70 OTHER MAINT SUPPLIES
Industrial Maintenance Solutions Invoice
P.O. Box 318
Date Invoice
Westfield, IN 46060
5/24/2011 112129
Bill To Ship To
Cannel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 WSM 5/24/2011
Quantity Item Code Description Price Each Amount
6 60663 DJ Orange Concrete Cleaner 50# 49.95 299.70T
I PMS Petroleum Materials Surcharge 8.00 8.00T
Sales Tax 0.00% 0.00
Total $307.70
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))
112129 $307.70
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
20
Clerk- Treasurer
VOUCHER NO. W NO.
ALLOWED 20
Industrial Maintenance Solutions
IN SUM OF
P.O. Box 318
Westfield, IN 46074
$307.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 112129 42- 389.00 $307.70 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
N 6 2019
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund