HomeMy WebLinkAbout166847 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 362028 Page 1 of 1
ONE CIVIC SQUARE PREMIUM INSPECTION SERVICES
CARMEL, INDIANA 46032 7605 FOREST DRIVE CHECK AMOUNT: $250.00
FISHERS IN 46038
CHECK NUMBER: 166847
CHECK DATE: 12/10/2008
FOiEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 100908 250.00 BUILDING REPAIRS MA
E
t INVOICE
11122008100908
m
7605 Forest Dr 317 536 -8369
Fishers, IN 46038
THE INSPEC REPORT WILL NOT BE RELEASED UNTIL ALL SERVICES HAV BEEN PAID IN FULL.
DATE OF INVOICE: November 14, 2008
I�
Carmel Clay Parks c/o Terry Myers 1411 E 116th St
Carmel IN 46032
DATE: TYPE OF INSPECTION: AMOUNT:
11/14/2008 3 Mold Samples- (Second Test) $250.00
Purchase C
�lT a, y Q
Description
P.O. P or F
G. L. /Xar- 0 4 35 10
Budget 3 M�� DEC 0 1 2008
Line Descr If I a
Purchaser Date y
Approval Date z� 0 77 FEES: $250.00
PAYMENTS Date Amount Chec
CHECK:
CREDIT
CARD:
EXPIRATION DATE:
SECURITY CODE:
CURRENT ZIP CODE:
PAYMENTS:
SIGNATURE:
BALANCE DUE: $250.00
Premium Inspection Services 11122008100908
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. 19487 F
Premium Inspection Services Terms
7605 Forest Dr
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/08 11122008100908 A.O. mold inspection 250.00
Total 250.00
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.
Premium Inspection Services Allowed 20
7605 Forest Dr
Fishers, IN 46038
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
MOLb
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 11122008100908 4350100 250.00 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
1 -Dec 2008
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund