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163944 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00352440 Page 1 of 1 ONE CIVIC SQUARE SERVICE SUPPLY LTD, INC. CHECK AMOUNT: $51.68 CARMEL, INDIANA 46032 1524 S HAMILTON ROAD COLUMBUS OH 43227 CHECK NUMBER: 163944 CHECK DATE: 9/17/2008 DEPARTM ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DE 1125 4237000 15584 51.68 REPAIR PARTS :1 I j Service Supply Ltd., Inc. J Invoice 1524 South Hamilton Road AUG 1 Y Columbus_ OH 43227 2QQ$ Date Invoice Local (614 861 -3681 Ohio: 800 -282 -1900 BY: VVV Indiana: 800- 848 -7556 Fax: (614 8/8/2008 15584 863 -0113 Bill To Ship To CARMEL CLAY PARKS REC. CARMEL CLAY PARKS REC. ADMINISTRATIVE OFFICE COURTNEY SCHAEGEL 1411 E. 116TH STREET 1.427 :EAST 1.16TH STREET CARMEL, IN 46032 CARMEL, IN 46032 P.O. No. Terms Payment Due Salesperson Date Shipped Ship Via FOB No Statement Rendered. 20 days 8/28/2008 JGS 8/6/2008 Item Quantity Shipped Description Price Each Amount 152048 2 2 49- 13116" TEN:DERTUFF 24.15 48.30 COATED CHAIN, BROWN FREIGHT HANDLING 3.38 3.38 Purchase r Description P.O. or F Budget Line Dascr Purchaser bate Approval Dato n- A U G 2 0 2008 BY: THANK YOU FOR YOUR ORDER. A charge at the rate of 1 1/2 per month, ANNUAL PERCENTAGE RATE Total may be applied to past due balances. $51.68 a; 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. 352440 Service Supply Ltd., Inc. Terms y, 1524 South Hamilton Rd Date Due Columbus, OH 43227 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/8108 15584 Chains for tire swing 51.68 Total 51.68 I hereby certify that the attached invoice(s), or biii(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10-1.6 20_ Clerk- Treasurer