HomeMy WebLinkAbout198684 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 363975 Page 1 of 1
ONE CIVIC SQUARE CHARLES PACKARD
CARMEL, INDIANA 46032 9801 CHAMBRAY DR CHECK AMOUNT: $161.87
INDIANAPOLIS IN 46280 CHECK NUMBER: 198684
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 20 161.87 BUILDING REPAIRS MA
Charles Packard Invoi
9801 Chambray Dr
Indianapolis, IN 46280 Date Invoice
5/22/2011 20
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
1411 E. 1 16th Street 1411 E. 1 16th Street
Carmel, IN 46032 Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
5/22/2011
Quantity Item Code Description Price Each Amount
2 coupon Mild Steel Coupons 9.50 19.00
2 coupon Cooper Coupons 12.50 25.00
4 testing Coupon Analysis 25.00 100.00
I freight Freight 17.87 17.87
D
2 5 -2�
MAY 2 3 2011
BY:
Purchase j
Description
P.O. P or F
G.L.
Budget
Line Descr
Purchaser Date
Approval Date L?
Total 1 61.87
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Terms
363975 Packard, Charles
9801 Chambray Dr
Indianapolis, IN 46280
Invoice Invoice Description Amount
or note attached invoice(s) or bill(s)) PO
Date Number 161.87
5122111 20 Water analysis
Total 161.87
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.
363975 Packard, Charles Allowed 20
9801 Chambray Dr
Indianapolis, IN 46280
In Sum of
161.87
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept INVOICE NO. ACCT #/TITI_ AMOUNT
1093 20 4350100 161.87 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
16 -Jun 2011
Signature
161.87 Accounts Payable Coo rdinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund