HomeMy WebLinkAbout198757 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 362955 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS
Iz tl' CHECK AMOUNT: $118.42
CARMEL, INDIANA 46032 PO BOX 19635
•c,._. INDIANAPOLIS IN 46219 CHECK NUMBER: 198757
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 131967 35.92 EQUIPMENT REPAIRS M
1095 4350000 131968 82.50 EQUIPMENT REPAIRS M
0 0
SOA
=1 1.1 101
INVOICE NUMBER
P.O. Box 19635 INVOICE DATE
Indianapolis, Indiana 46219 06 /03/11
(317) 322 -5800 PAGE
1
SOLD TO C.ARMEL CLAY PARES REC. dba KO" CTR SHIP TO KM()N (!ENTER
114 E. 116TH STREET 1235 CENTRAL PARK DRIVE BAST
CARMBL, IN 46032 CARMEL, IN 46032
(317) 848 -7275
CUSTOMER I.D.: 113022
SHIP VIA: SERVICE P.O. NUMBER:
SHIP DATE: 05/31/11 P.O. DATE:
DUE DATE: OUR ORDER NO:
TERMS: Net 15 SALESMAN: Dave Beck
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE AMOUNT TX
1015 -1045 0.500 0.500 75 -00 37.50
TRIP CHARGE 45.00
I voi.e subtotal 82.50
Invoice total 82.50
SIGNA RE:
I AGREE THAT EVERWHING LISTED ON INVOICE IS ACCOUNTED FOR UNDAMAGED UNLESS OTHE RWSE NOTED.
o 2 1
Purc ase
Des SorT �R Descr iption v REPA i2 JUN 6 2011
P.O. AA C0ol lip PorF
G.L. I I QCjs -I fpo Oa
Bud et �Y:
Line escr EOL4 r LrW h'lQ-J&
Purchaser Date
Appr val Date
WHITE COPY SOUTHERN FOOD SYSTEMS YELLOW COPY CUSTOMER
SO UTTIEFA
AW
r 1
INVOICE NUMBER 13,:367
P.O. Box 19635 INVOICE DATE 06/03/
Indianapolis, Indiana 46219
(317) 322 -5800 PAGE
1
SOLD TO CARPEL CLAY PARKS REC_ dba HO" CTR SHIP TO @gOHOAT CENTER
114 E. 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032 CAR!MEL, IN 4.6032
(317) 848 -7275
CUSTOMER I.D.: 113022
SHIP VIA: SERVICE P.O. NUMBER:
SHIP DATE: 06/01/11 P.O. DATE:
DUE DATE: OUR ORDER NO:
TERMS: Let 15 SALESMAN: Dave Beck
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE AMOUNT TX
7071138836 HOSE TRANSFER RED 4 4 7.59 30.36
7071199032 -01 DUCKBILL INLET RhT 1 1 5.56 5.56
PER JERRY NO TRIP OR
LABOR THIS ONE TIME.
I voi a subtotal 35.92
In ice total 35.92
SIGNATURE:
I AGREE THAT EVERWHING LISTED ON INVOICE IS ACCOUNTED FOR UNDAMAGED UNLESS OTHE R ISE NOTED.
Purchase JUN 0 70
Description A FT SEkV
P.O.# MCO01 7lvl _PorF
G.L. /X/5-1- 44 3 5000 X
Line Descr �W
f.
Purchaser Dat
Approval Dat
WHITE COPY SOUTHERN FOOD SYSTEMS YELLOW COPY CUSTOMER
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; t k kind of s units, price erfor it a dates service rendered, by
whom, rates per day, number of hours, rate per o
Payee Purchase Order No.
Terms
362955 Southern Food Systems
P.O. Box 19635
Indianapolis, IN 46219
Invoice Description PO Amount
Invoice (or note attached invoice(s) or bill(s))
Date Number 82.50
6/3/11 131968 Repair soft serve machine 35.92
6/3/11 131967 Repair soft serve machine
Total 118.42
is (are) true and correct and I have audited same in accordance
I hereby certify that the attached invoice(s), or bill(s)
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
362955 1 Southern Food Systems Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of
118.42
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1095 -1 131968 4350000 82.50 1 hereby certify that the attached invoice(s), or
1095 -1 131967 4350000 35.92 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
118.42 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund