HomeMy WebLinkAbout204648 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 355216 Page 1 of 1
ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INC CHECK AMOUNT: $703.00
i CARMEL, INDIANA 46032 14016 BRITfON PARK ROAD
FISHERS IN 46038 CHECK NUMBER: 204648
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 5253 703.00 BUILDING REPAIRS MA
4
1 �1o/ ®ICG'
G rantham
THOMAS L. GRANTHAM COMPANY, INC.
14016 Britton Park Road
Fishers, Indiana 46038
317- 845 -8888
Fax: 317-770-6160
Date Invoice
m 11/30/2011 5253
Bill To �Jobame
Carmel Street Department
3400 W. 131 st Street
Carmel, IN 46074 f
E
P.O. No. Terms Project
Net 15 days 40615
Item Quan... Description Rate Amount
Service 2 Sales Service Doug-
g 90.00 180.00
Materials I Material sates DDC Card 523.00 523.00
Sales Tax 7.00% 0.00
F
3
I
Federal ID#
35- 1673094 Total $703.00
VOUCHER NO. WARRANT NO_
ALLOWED 20
Thomas L. Grantham Company
IN SUM OF
14016 Britton Paris Road
Fishers, IN 46038
$703.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 5253 43- 501.00 $703.00 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
i Friday, 09, 2011
r. Z r y
Street Commissioner
:e L'cTii
Cost distribution ledger classification if
claim paid motor 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 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))
11/30/11 5253 $703.00
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