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158352 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 353580 Page 1 of 1 `1 ONE CIVIC SQUARE CUSTOM CAST STONE INC CARMEL, INDIANA 46032 PO Box 6069 DEPT 164 CHECK AMOUNT: $55.00 INDIANAPOLIS IN 46206.6069 CHECK NUMBER: 158352 r CHECK DATE: 411512008 DE PARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 853 5023990 52761 55.00 OTHER EXPENSES e, Invoice r Invoice 52761 13 I L(. 1 L`_4�Y b4 �-.0 S: C�1.4' R' 1 .I °3 i Remit Payment To: 7 a. Invoice Date: P.O. Box 6069 Dept 164 03/24/08 Indianapolis, IN 46206 -6069 MAR 2 R 2008 Page: i I (317) 896 -1700 Bill To: Camel Clay Parks Recreation Ship To: 1411 E. 116th Street Carmel, IN 46032 CARMEL CLAY 04/23/08 Net 30 days Kelly Purchase r Cust Pick -Up 03/24/08 MICHAEL O'HARA De scription 1 ASFL5X12 Address Stone Flat 55.00 55.00 5" x 12" IN MEMORY OF MICHAEL O'HARA BY DON POLLY TRAINOR Subtotal 55.00 Sales Tax 0.00 1.5% interest per month will be Freight 0.00 added to all invoices not paid within 30 days. Payment /Credit 0.00 Deposit 0.00 THANK YOU FOR YOUR ORDER Total 55.00 FUND DEPT LINE DESC Z 6 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. Custom Cast Stone Terms PO Box 6069 Dept 164 Date Due Indianapolis, IN 46206 -6069 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3124/08 52761 Memorial stone 55.00 Total 55.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Custom Cast Stone Allowed 20 PO Box 6069 Dept 164 Indianapolis, IN 46206 -6069 In Sum of 55.00 ON ACCOUNT OF APPROPRIATION FOR 853 Gift Fund PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members Dept 853 52761 5023990 55.00 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 14 -Apr 2007 d Signatur 55.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund