HomeMy WebLinkAbout204477 12/07/2011 CITY OF CARMEL, INDIANA VENDOR: 355748 Page 1 of 1
ONE CIVIC SQUARE ASSOCIATED CONTROLS DESIGN
CARMEL, INDIANA 46032 DIVISION OF C.M. BUCK 8 ASSOCIATES CHECK AMOUNT: $140.00
s.. 6850 GUION ROAD
CHECK NUMBER: 204477
INDIANAPOLIS IN 46268
CHECK DATE: 12/7/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 C13374 140.00 REPAIR PARTS
Associated Controls Design Invoice
Division of C.M. Buck Associates, Inc.
6850 Guion Road DATE INVOICE
Indianapolis, IN 46268 11/22/2011 C13374
317- 298 -3961
BILL TO SHIP TO
City of Carmel City of Carmel
Carmel Street Department Carmel Street Department
Attn: Accounts Payable 3400 West 131st Street
3400 W. 131st Street Westfield, IN 46074
Westfield, IN 46074
P.O. NUMBER TERMS REP SHIP VIA F.O.B. PROJECT
Mark Baumgart Net 30 Days 11/17/2011 "ACD"
QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT
1 LMT ACD Svc ONE LOT PRICE FOR LABOR, MILEAGE AND 140.00 140.00
TRAVEL FOR ACD SERVICE
SEE ENCLOSED FIELD SERVICE REPORT
Total $140.00
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))
11/22/11 C13374 $140.00
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. W ARRANT N
ALLOWED 20
Associated Controls Design
Division of C.M. Buck Associates IN SUM OF
6850 Guion Road
Indianapolis, IN 46268
$140.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member:
2201 C13374 42- 370.00 $140.00 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
�Thursd' y/Debe rber 01, 2011
Street Commissio er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund