HomeMy WebLinkAbout165349 10/29/2008 a VENDOR: 359977 P8 e 1 Of 1
CITY OF CARMEL, INDIANA g
0 ONE CIVIC SQUARE MR ROOTER CHECK AMOUNT: $327.20
CARMEL, INDIANA 46032 P 0 BOX 191
'ti MUNCIE IN 47308 CHECK NUMBER: 165349
CHECK DATE: 10/29/2008
DEPARTM ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1150 4350000 010321 327.20 EQUIPMENT REPAIRS M
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I
Mr. Rooter of Central Indiana
Invoice 010321
PO Box 191 Invoice Date 10/13/2008
Muncie, IN 47308 Completed Date 10/11/2008
3rd Party PO#
3rd Party Auth#
Job Address
BILLING ADDRESS
Name Brookshire Golf Club
Name City of Carmel Address 12120 Brookshire Pkwy
Address One Civic Square City/State /Zip Carmel, IN 46033
City/State /Zip Carmel, IN 46032 Phone (317) 846 -7431
TROUBLE REPORTED
Men's toilets backing up in bathroom. Flusing extremelly slow, plunging comes up through floor drains.
DESCRIPTION ANALYSIS AND RECOMMENDED REPAIRS
Cabled main line through first stall in women's restroom.
Intemal AMOUNT
Task# DESCRIPTION OF TASKS CHARGED
C1000 Cable Main thru Closet Flange 327.20
THANK YOU FORM UR UUSINE Totals $327.20
Sub -Total $327.20
Sales -Tax $0.00
Credit Card Payment Authorization Total Due $327.20
Print Name below as it appears on Credit Card Payment $0.00
Credits $0.00
Payment Type CREDIT CARD EXP
Net Due Upon Completion
X Date Balance Due $32T:
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
T 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.
i
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 3.2 —7
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. \ARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
jet 3 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
11 �o J1009JIa
n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund