HomeMy WebLinkAbout204550 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 083900 Page 1 of 1
ONE CIVIC SQUARE JOHN R. ELLIOTT
CARMEL, INDIANA 46032 3041 E CURRY LANE CHECK AMOUNT: $52.55
CARMEL IN 46032 CHECK NUMBER: 204550
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4238900 52.55 OTHER MAINT SUPPLIES
INVOICE
Invoice no.: 8727660
Please Remit Payment to: Invoice Date: 12/06/2011
INTERLIGHT
Cust. No.: 362678
7939 NEW JERSEY AVE
HAMMOND IN 46323 -3040 FEDERAL I.D. #35.1859824
PHONE: 219-989-0060 FAX: 219-989-1022
E -MAIL: MAIL @INTERLIGHT.BIZ
WWW.INTERLIGHT.BIZ
Bill to: Shia to:
ACCOUNTS PAYABLE J OHN EL LIOTT7
CARMEL POLICE DEPT CARMEL POLICE DEPT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Terms: CREDIT CARD Order Date: 12/06/2011
Ordered by: JOHN ELLIOTT Ship Date: 12/06/2011
Order Ship Back
QQt rr tv Qty Item No. Item Description Price Extended
4 4 0 GCA 25OW 120V G5.3 10.95 43.80
Track shipment at www.ups.com tracking no. 1Z6273E60364205931 Product Total: 43.80
Shipping Charge: 8.75
Sales Tax: 3.07
Prepaid by credit card no. XXX)(XXXXXXXX5762
PLEASE GIVE RECEIPT TO THE PERSON WHO PAYS THE CREDIT CARD BILLS Credit Card: 55.62
Bill to: Cust. No.: 362678
CUT 8 TAPE TO YOUR EQUIPMENT
ACCOUNTS PAYABLE Invoice no.:8727660
CARMEL POLICE DEPT
3 CIVIC SQUARE Due Date: 01/05/2012 ORDER REPLACEMENT BULB FROM
CARMEL, IN 46032 Invoice Date: 12/06/2011 WWW.INTERLIGHT.BIZ
800- 743 -0005 219 989 -0060
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))
12/06/11 8727660 reimburse John Elliott for lab supplies $52.55
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.
ALLOWED 20
John R. Elliott
IN SUM OF
3041 East Curry Lane
Carmel, IN 46033
$52.55
O ^'ATION FOR
rtment
PC ITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1110 I 8727660 I 44 3 .00 I $52.55
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
Thursday ,.D cember 08, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund