HomeMy WebLinkAbout203774 11/21/2011 a CITY OF CARMEL, INDIANA VENDOR: 359344 Page 1 of 1
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ONE CIVIC SQUARE AYERS BACKFLOW CHECK SERVICE
CARMEL, INDIANA 46032 20 BENNETT ROAD CHECK AMOUNT: $245.00
CARMEL IN 46032
CHECK NUMBER: 203774
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 213587 105.00 BUILDING REPAIRS MA
1125 4350100 213588 140.00 BUILDING REPAIRS MA
213587
IN VOICE
SOLD TO: SHIPPED TO:
Ay ers Backf1 ®w Ch Sero
ADDRESS ADDRESS 20 Bennett Rd.
CITY, STATE, IP CITY, STATE, ZIP Calillel, 11+46032
G &R, y 575 -0782
CUSTOMER'S ORDER SALESPERSON TERMS VIA F.O.B. DATE
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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.
359344 Ayers Backflow Check Ser Terms
20 Bennett Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/9/11 213587 Back flow testing 105.00
11/9/11 213588 Back flow testing 140.00
Total 245.00
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.
359344 Ayers Backflow Check Ser Allowed 20
20 Bennett Rd
Carmel, IN 46032
In Sum of
245.00
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 213587 4350100 105.00 1 hereby certify that the attached invoice(s), or
1125 213588 4350100 140.00 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
17 -Nov 2011
Signature
245.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund