HomeMy WebLinkAbout163847 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361119 Page 1 of 1
ONE CIVIC SQUARE LUBRICATION SPECIALISTS OF NE FL
CARMEL, INDIANA 46032 4941 MARINERS POINT DR CHECK AMOUNT: $135.00
JACKSONVILLE FL 32225 CHECK NUMBER: 163847
CHECK DATE: 9117/2008
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1150 4239099 T 870807 135.00 OTHER MISCEI.LANOUS
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www.prolong- usa.com Lubrication Specialists of NE Florida, LLC
1 N V® 1 C E
INVOICE 870807 DATE: 08 -18 -08
PO VERBAL TERMS;
SHIP `CIA: PALMER SALESPERSON: GARY PALMER 317- 402 -0093
SOLD TO: SHIP TO:
BROOKSHIRE GOLF COURSE SAME a
CITY OF CARMEL
CARMEL, IN
ITEM QTY DESCRIPTION PRICE TOTAL
64018 1 PROLONG WATERLESS WASH SHINE- 5 GAL $125.00
wwvv.prolong- usaxom
SUB TOTAL $125.00
Tax
INV. PROCESSED THANK YOU SHIPPING $10.00
TOTAL $13$.O
PLEASE REMIT TO:
LUBRICATION SPECIALISTS OF NE FLORIDA
4941 MARINERS POINT DRIVE
JACKSONVILLE FL32225
904- 716 -1407
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Gt CAd� /h rS Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
l�hf'�rr'��7o.� ���ci�;►./�s� o•�iJ� /rl4 IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
O o 7 3 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
20
Sign
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund