HomeMy WebLinkAbout204415 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365821 Page 1 of 1
ONE CIVIC SQUARE TOBY'S PERFORMANCE LLC
CARMEL, INDIANA 46032 PO BOX 517 CHECK AMOUNT: $600.00
BLOOMINGTON IN 47402 -0517 CHECK NUMBER: 204415
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 4041 600.00 1052.03
Toby's Performance, LLC Invoice
P. O. Box 517
Bloomi ngton, IN 47402 -0517
Date Invoice
11/10/2011 4041
Bill To Job Site Location
City of Carmel, Water Operations 1067 W. Gray Rd.
3450 W. 131st St. Carmel
Carmel, IN 46074
Terms Job Date P.O. Number Pour Type
Net 30 11/10/2011 hooter
Quantity Description Rate Amount
1 Price quoted per Toby 600.00 600.00
PP-ELIMIARY NOTICE OF INTENT TO LIEN: Be advised that should the amount due not be paid
on this Invoice within 15 days of due date, a Claim of Lien Nvill be recorded against the property. Tota 1 $600.00
Notify us immediately, via fax, if this invoice has been received in error.
Phone 4 Fax r� x500 .v0
�alarice-uue
812- 340 -4504 812- 332 -0718
VOUCHER 113160 WARRANT ALLOWED
365821 IN SUM OF
TOBY'S PERFORMANCE, LLC
PO BOX 517
BLOOMINGTON, IN 47402 -0517
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4041 07- 1052 -03 $600.00
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Voucher Total $600.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
365821
TOBY'S PERFORMANCE, LLC Purchase Order No.
PO BOX 517 Terms
BLOOMINGTON, IN 47402 -0517 Due Date 12/112011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2011 4041 $600.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
AL
Date fficer