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200794 08/30/2011 a F CITY OF CARMEL, INDIANA VENDOR: 362899 Page 1 of 1 ONE CIVIC SQUARE THE BLIND MAN zi CARMEL. INDIANA 46032 CHECK AMOUNT: $1,991.00 13495 SHAKAMRC DRIVE CARMEL IN 46032 CHECK NUMBER: 200794 CHECK DATE: 813012011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4238000 10591459932 1,991.00 SMALL TOOLS MINOR E .x" The Blind Man BLINDS SHADES SHUTTERS Source 2 (317) 509 5486 The Blind than 13495 Shakamac Drive Date: i J Carmel, IN 46032 Steve Imel, owner Customer Name: Ll i' ;r_,>- 11 1 �L• www.theblindmanindy.com 5 v Address: s #eve #heblindmanindy.com �;1; �r t, 4'? �'��.1���� i ..i Email: Ref. No. Quantity Inside er Width Length Description Price r• I Purchase Oescript'or1 PA C a ct O Bud et line Purchaser l (J Approval I I 4 Total Window Treatments e Cleaning /Repair /Installation/ Shipping Total Deposit Balance The above prices, specifications and conditions are satisfactory and are herebv accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Terms: A finance charge of 1 1/2% per month (annual of 18 will be charged on balances over 30 days. A S25.00 service charge will be added for all returned checks. Customer agrees that in default of payment, reasonable costs of collection, equal to 50% of the delinquent balance, and /or reasonable attorney fees may be added to the amount due on the account. Signature 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. Blind Man, The Terms 13495 Shakamac Drive Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7118111 10591459932 Blinds for Fitness B 28800 1,991.00 Total 1,991.00 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 ,20_ Clerk- Treasurer Voucher No. Warrant No. Blind Man, The Allowed 20 13495 Shakamac Drive Carmel, IN 46032 In Sum of 1,991.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1096 -21 10591459932 4238000 1,991.00 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 23 -Aug 2011 Signature 1,991.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund