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HomeMy WebLinkAbout165293 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00351189 Page 1 of 1 ONE CIVIC SQUARE J M SUPPLY CARMEL, INDIANA 46032 PO Box 1164 CHECK AMOUNT: $152.25 `p CARMEL IN 46032 CHECK NUMBER: 165293 CHECK DATE: 10/29/2008 DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION 1120 4238900 16777 152.25 OTHER MAINT SUPPLIES J M Supply Corp INVOICE PO Box 1184 Carmel, IN 46082 -1184 DATE ORDER NO. 31 7) 844 -3009 1 0/16/2008 16777 BILL TO SHIP TO Carmel Fire Department Carmel Fire Department 2 Carmel Civic Square 2 Carmel Civic Square Carmel IN 46032 Carmel IN 46032 Att'n. Gary Carter P.O. NO. TERMS SHIP DATE SHIP VIA FOB VENDOR NO. Net 20 10/16/2008 Our Truck Delivered 00351189 ITEM DESCRIPTION QTY UNIT PRICE B/O AMOUNT 7086 -5 Squeegee fixed head 28" white 5 30.45 0 152.25 Order Complete Total $152.25 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)) 16777 Squeegee Heads $152.25 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 N ALLOWED 20 M Supply IN SUM OF P.O. Box 1184 Carmel, IN 46032 $152.25 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 16777 42- 389.00 $152.25 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 OCT 2 7 2008 d Title Cost distribution ledger classification if v claim paid motor vehicle highway fund