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162806 08/20/2008 I CITY OF CARMEL, INDIANA VENDOR: 359243 Page 1 of 1 0 ONE CIVIC SQUARE INDY SALT CHECK AMOUNT: $308.70 CARMEL, INDIANA 46032 3490w79THST INDPLS IN 46268 CHECK NUMBER: 162806 CHECK DATE: 8/2012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4236500 1021 308.70 SALT CALCIUM i Indy Salt Invoice 3490 W 79th. St Date Invoice Indianapolis, IN 46268 8/5/2008 1021 Bill To Ship To Carmel Fire Department 540 W 136th 2 Civic Square Carmel IN 46032 Carmel. IN 46032 J r P.O. Number Terms Rep Ship Via F.O.B. Project EG 8/5/2008 CID f Quantity Item Code Description Price Each Amount 63 Solar Salt 440 404 Sol r Salt 4.90 308.70 0.00 0.00 Total $308.70 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)) 08/05/08 1021 Salt for Stations $308.70 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. WARRANT NO. ALLOWED 20 Indy Salt IN SUM OF 3490 West 79th Street Indianapolis, IN 46268 $308.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1 120 1021 42- 365.00 $308.70 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 AUG 18 zoos Title Cost distribution ledger classification if claim paid motor vehicle highway fund