HomeMy WebLinkAbout201493 09/14/2011 CITY OF CARMEL, INDIANA VENDOR: 362955 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS
CARMEL, INDIANA 46032 CHECK AMOUNT: $101.25
PO BOX 19635
INDIANAPOLIS IN 46219 CHECK NUMBER: 201493
CHECK DATE: 9/14/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 133511 101.25 EQUIPMENT REPAIRS M
f
11 INVOICE NUMBER 13.3511
P.O. Box 19635 INVOICE DA E 08/30/JL1
Indianapolis, Indiana 46219
(317) 322 -5 PAGE
SOLD TO CAMEL CLAY PARES REC dba 0R CTR SHIP TO ?K*M CENTER
114 E. 116TH STREET 12.35 CENTRAL PARK DRIVE EAST
C.ARKEL, IN 46032 CALL, IN 48032
(31.7) 84.8 -7275
CUSTOMER I.D.: 113022
SHIP VIA: SERVICE P.O. NUMBER:
SHIP DATE: M/ OUR DATE:
DUE DATE: OUR ORDER NO:
TERMS: Net 15 SALESMAN: Dave Beck
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED Ulm UNIT PRICE AMOUNT TX
0900 -0945 Q.750 0.750 75 -00 56-25
TRIP CHARGE 45-00
I voi subtotal 101.25
In oice total 1fl1.25
SIGN, ICE:
I AGREE THAT EVERY FHING LISMD ON INVOICE IS ACCOUNTED IF DR& UNDAMAGW UNLESS @TI RWSE (VOTED.
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Purchaser Date
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WHITE COPY SOUTHERN FOOD SYSTEMS YELLOW COPY CUSTOMER
Repair Orde
REASON FOR CALL: FO SYSTEMS
Q I Part I Description I UmtPnce _I R Totals
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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.
362955 Southern Food Systems Terms
P.O. Box 1 9635
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/30/11 133511 Repair soft serve machine 101.25
Total 101.25
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.
362955 Southern Food Systems Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of
101.25
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 133511 4350000 101.25 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
8 -Sep 2011
Signature
101.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund