HomeMy WebLinkAbout167478 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00352992 Page 1 of 1
1J ONE CIVIC SQUARE ULTIMATE CARWASH CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 431 E CARMEL DRIVE
*r. M CARMEL IN 46032 CHECK NUMBER: 167478
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351100 18993 275.00 CAR WASHES
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Ultimate Car Wash
431 E. Carmel Drive
DATE/ n
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INDIANA RETAIL TAX EXEMPT PAGE
C i ty IF f C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
w Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 JR993
3 1ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A'P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Decamber 10, 21)0$ car wash tickdts
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VENDOR Duke's Ultimate Car Wash SHIP City of Carmel Police Department
431 E. Carl Drive TO 3 Civic Square.
Carrel, IN 46032 Carmel., IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
52 washes car washes 275.00
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Send Invoice To:
I
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 511 car cleaning PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
jJ NUMBER IS MADE A. PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE. IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. {�1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY i'litL1,Gi..�/ r CC,a
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE Chief o£ Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.___ WARRANT NO._.__
ALLOWED 20
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IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
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
r 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
Duke's Ultimate Car Wash Purchase Order No. 18993F
431 E. Carml Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/12/08 payment for car wash tickets 275.00
Total
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. WAPRANT NO.
ALLOWED 20
Duke's Ultimate Car WAsh
IN SUM OF
431 E. Carmel DRive
Carmel, IN 46032
275.00
0
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18993F 511 275.00 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
December 16 20 08
h"Agy 1.
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund