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201024 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 00352550 Page 1 of 1 ONE CIVIC SQUARE T -METAL WORKS, INC. CHECK AMOUNT: $175.00 e o CARMEL, INDIANA 46032 1813 E 109TH STREET INDIANAPOLIS IN 46280 CHECK NUMBER: 201024 CHECK DATE: 8/3012011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 T11 -4437 175.00 REPAIR PARTS T- M e taiWorks, Inc. Arch itecturaUMetals Specialties 1813 E. 109th Street Indianapolis, IN 46280 Invoi 317 -848 -2936 Fax 317- 848 -6133 T0; JOB NAME' T Corner Carmel Street Department 3400 W. 131st Street LOCATION: Westfield, IN 46007 YOUR PA. TERMS: INVOICE No. DATE. verbak /Mike net 30 days T11 -4437 1 8/19/11 (1) Brake Formed Corner Guard 8' -0' Material: .125 Mill Al Invoice Total 175.00 V NO. WARRANT N ALLOWED 20 T- MetalWorks, Inc. IN SUM OF 1$13 E. 109th St. Indianapolis, IN 46280 $175.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member; 2201 T11 -4437 42- 370.00 $175.00 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 I/ j Thursday„ A .1gust 25, 2011 u Street Commissioner airy ®t rTTitie 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)) 08/19/11 T11 -4437 $175.00 f 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