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HomeMy WebLinkAbout199191 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 362955 Page 1 of 1 ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS CARMEL, INDIANA 46032 PO BOX 19635 CHECK AMOUNT: $321.99 INDIANAPOLIS IN 46219 CHECK NUMBER: 199191 CHECK DATE: 7/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4350000 132077 321.99 EQUIPMENT REPAIRS M 1 1 Y i INVOICE NUMBER 132077 P.O. Box 19635 fill INVOICE DATE 0-9/1- i Indianapolis, Indiana 4621 1 3 1011 (317) 322 -58 PAGE 1 SOLD TO CSI, Cl (5 REC. d[6a NO" G°I'R SHIP TO ?ICIAJOH CENTER 114 E. 1161 STREET 1235 CENTRAL PARK DRIVE EAST CARTEL, IN 46032 CAR EL, IN 46032 (317) 848 -7275 CUSTOMER i.D.: 113022 SHIP VIA: SERVICE P.O. NUMBER: 1M1 IZ SHIP DATE: 06106/11 P.O. DATE: DUE DATE: OUR ORDER NO: TERMS: Net 15 SALESMAN: Dave Berk PRODUCTjI:C4.DE$CRIPTION ORDERED SNIPPED U %M UNIT PRICE AMOUNT TX 7071163431 AIR PETER 18 2 2 3 -97 7 -94 70711313836 HOSE TRANSFER RED 2 2 7.59 15.18 7071150381 RELAX FLANGE BASE 1 1 28.87 28.87 0845 -1145 3.000 3.000 75.40 225.00 TRIP CHARGE 45-00 Ir voiae subtotal 321.99 INFoice to 321 -99 SIGMA RE: I AGREE THAT EVERYrHING LISTED ON INVOICE 18 ACCOUNTED F R 8P UNDAMAGED UNLESS OTHERWISE NOTED. Purchase Description Aq u IL) rem. y P.O. �a P IG r i+ G.L. 4 -1 19 Qu" At UnS scr y Purchaser Date Approval Date WHITE C 6 PY SOUTHERN FOOD SYSTEMS YELLO CUSTOMER 17 (,a Account Phone 347 'Xq3 3q 7 3 Date: t Account {Name &Location} MC; 000 Cc uTE k- P.O. Box 19635 P, 0) Indianapolis, IN 46219 Phone: 317 322 -5800 Bill to: Toll Free: 800- 776 -5100 REASON FOR CALL: b S r ►fit- S T It. c.a Rv STrr Contacted By: 1 Qty Part De Unit Price Total PROBLEM FOUND: i r-jT S ZL.Lo, g vraat C fi fis Ki �C C.AU9(V6 2 F 3 (kEt) L11 0 t- T� l am, /A WORK PERFORMED: CAE A PJ e 7 t" 6 Asg g f 5 c gVP,� 6 AT E?CACi f) f-A,�x J l 5Ar- ,Tr 7C- r) ST NI)T f r C—N t+ P► t4. s vc.T rot) T t COMMENTS: 1 i�e C l U 32© Parts Total F. Ll 14 V. LvS 3 75. `0 rLaborTotal 2 2 00 t Trip Charge Lj�. 00 6u Tax �'5-�,' Technician' Date �n' 4 ,i Date Balance Du s r h 13..1 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. 362955 Southern Food Systems Terms P.O. Box 19635 Indianapolis, IN 46219 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/9/11 132077 Repair soft serve machine 28672 321.99 Total 321.99 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. 362955 Southern Food Systems Allowed 20 P.O. Box 19635 Indianapolis, IN 46219 In Sum of 321.99 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE. NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 132077 4350000 321.99 1 hereby certify that the attached invoice(s), or bill(s) (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 28 -Jun 2011 P; I"Z &m- Signature 321.99 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i