HomeMy WebLinkAbout199209 07/06/2011 VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
a
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
Carmel INDIANA RETAIL TAX EXEMPT PAGE
(l CERTIFICATE NO. 0031 201 55 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 23
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURC ORDER D ATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6 9
TRA Noith Camdl Pallco Department
VENDOR SHIP 3 Civic SQu=
3g Omdlo Ddvo TO Daracl, IN 462
Camel, IN AM (397) 5794
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 -FO.00
4 Each brake pads RAFATDIMP $40,70 $902.80
4 Each rotors DUOISA2322 $54.08 $218.32
Sub T®tal; $378.12
Z F
pa .fg
Send Invoice To: ry 1
Camel Polico Doparrmenk
Atone Toms& Andaroon
3 Civic squa ro
camol, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT •92
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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
SHIP REPAID.
THIS APPROP ICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 4 loo of P0Ilce
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 4*�YYY b'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 2 5 7 8 6
CLERK-TREASURER
SI GN AND RETURN TO CLERK'S OFFICE
SURER
A.P.V. COPY -SI
VOUCHER NO.__ WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MTLE 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
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))
06/20/11 3JV9283 payment for repair parts $379.12
06/23/11 1JW1141 payment for oil $920.00
06/24/11 1JW2211 payment for repair parts $240.90
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
TBA North
IN SUM OF
309 Gracile Drive
Carmel, IN 46032
$1,540.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
25786 3JV9283 42- 370.00 $379.12 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
25784 1JW1141 42- 315.00 $920.00
materials or services itemized thereon for
1110 1JW2211 42- 370.00 $240.90 which charge is made were ordered and
received except
y Wednesday, June 29, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund