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199678 07/20/2011 a CITY OF CARMEL, INDIANA VENDOR: 00350944 Page 1 of 1 ONE CIVIC SQUARE SCOTT POOLS, INC CHECK AMOUNT: $13.44 CARMEL, INDIANA 46032 904 W MAIN ST CARMEL IN 46032 CHECK NUMBER: 199678 CHECK DATE: 7/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 110654 13.44 OTHER MAINT SUPPLIES Scott Pools, Inc. MW(DUCE 964 W. Main Street Invoice Number: 110654 Carmel, IN 46032 Invoice Date: Jun 30, 2011 www.scottpoolsinc.com Page: 1 Voice: (317) 846 -5576 Fax: (317) 846 -4763 Email: scottpools2@gmaii.com Bill To: Ship to: CITY OF CARMEL STREET DEPT. 3400 W. 131ST STREET WESTFIELD, IN 46074 Customer PO Payment Terms Due Date —Net 30 Days Quantity De Unit Price Amount 1.00 STORE SALES 6129111 13.44 13.44 Scott Pools is on Facebook! Subtotal 13.44 Berme a FAN today keep up with all Sales Tax the latest news, specials and more!!!I Total Invoice 13.44 (A 1 -112% late fee will be charged on all Accounts 30 days past due) Payments Accepted: Visa, Mastercard, Discover, AMEX, Check or Cash. TOT DU E 1 3.44 Thank you for your continued business! j Pai n 5treaE f i n Ur1 9T rT:Ty. i r'i 5 �Rs1 T s aO ,WFET�l'P5T`'STE'E �fESTFtElEr IFt 46!l "l4: is livs- .ripti +ori ate Ex +eridei Fnryi i f QTO f.' —1 a 2.49 L7re�t�511i 10a95 Sub T ,t 13A4 Sales T.r.; Total. ,I 0.00 Total 13..44 F' -az i F;' Char gfng To N f la'�i7t'f�?� f By Ch,3rgi_ng 'Io r ut:h; Amount: q -le W 7 ost Signature T r �dl y y UMe: i', ;'1711 aa1- .;'t1C11 Css�l t Tr n OOOD 4rJ`19.. r 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)) 06/30/11 110654 $13.44 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. WARRAN NO. ALLOWED 20 Scott Pools IN SUM OF 904 W. Main Street Carmel, IN 46032 $13.44 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 110654 42- 389.00 $13.44 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 Thursday, July 14, 2011 1 Stre o Tit e Street Comm;ssioner Cost distribution ledger classification if claim paid motor vehicle highway fund