HomeMy WebLinkAbout155784 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351189 Page 1 of 1
ONE CIVIC SQUARE J M SUPPLY
CARMEL, INDIANA 46032 PO BOX 1184 CHECK AMOUNT: $495.30
CARMEL IN 46032 CHECK NUMBER: 155784
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 16264 495.30 OTHER MISCELLANOUS
s:
J M Supply Corp INVOICE
rs.PO BOX 1184
Carmel, IN 46082 -1184 DATE ORDER NO.
317) 844 -3009 1/3/2008 16264
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 1/3/2008 Our Truck Delivered
ITEM DESCRIPTION QTY UNIT PRICE B/O AMOUNT
2937 -5 Handle 59" Alum. white 6 23.15 0 138.90
7086 -5 Squeegee fixed head 28" white 12 29.70 0 356.40
Order Complete Total $495.30
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
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund