HomeMy WebLinkAbout160381 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361396 Page 1 of 1
ONE CIVIC SQUARE MICHAEL HENRICKS CHECK AMOUNT: $159.99
CARMEL, INDIANA 46032 12425 E 266TH STREET
�o ARCADIA IN 46030 CHECK NUMBER: 160381
1
CHECK DATE: 6/1012008
DEPARTMENT AC PO NU MBER INVOICE NUMBER AMOUNT DESCRI
2201 4356003 25021 159.99 SAFETY ACCESSORIES
1 it
Cowpokes
27498 US 31
Arcadia, IN 46030
33.7- 984 -1600
Sold by: Jaime Inv# 25021
Saturday 05/24/2008 5:51 pm #21
MIKE HENRICKS 5004
12425 E 266TH
ARCADIA, IN 46030
(317)- 385 -6201
ROCKY 2717 <SPO> ROCKY 1vIENS H c'T
1 159.99 <0r,:
S.O. DEPOSIT
1 171..19 $171.19
Special Order Detai
Sub Total 159.99
+Tax 11.20
Deposit 171.19
Total. Bal Due 0.00
1/2 DOWN IF NOT A STOCK ITEM
Nontaxable items $.171.1.9
INVOICE TOTAL $1.71.19
Card Received $171.19
VISA
Open
Mon. Sat. 10 -8
Sun. 11 -5
mow
COWPOKES
1812 E.53R0 ST
ANDERSON, IN 4GO13
(765) 642 -3911
Sale
hlrrchant iG, S4P92MPSNM
term ID; 1fiMF
05/24/08 17:50:37
Batchu: 000051 Inv u: 000014
VISA Entry Plethod; S
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Seq Ml Aar Code. LIM
local. 1Z1,19
APPROVED
Customer Copy
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))
05/24/08 25021 $159.99
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.
ALLOWED 20
Mike Henricks
IN SUM OF
c/o Carmel Street Department
Westfield, IN 46074
$159.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 25021 43- 560.03 $159.99 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
r�
Fri June 06, 2008
Str erte�ommissione er r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund