HomeMy WebLinkAbout204991 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365821 Page 1 of 1
ONE CIVIC SQUARE TOBY'S PERFORMANCE LLC
CHECK AMOUNT: $900.00
CARMEL, INDIANA 46032 PO BOX 517
BLOOMINGTON IN 47402 -0517 CHECK NUMBER: 204991
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 4056 900.00 OTHER EXPENSES
Toby's Performance, LLC
P. O. Box 517 Invoice
Bloomington, IN 47402 -0517
Date L !400 ice
12/1/2011 56
Bill To Job Site Location
City of Carmel, Water Operations Water Plant in Carmel
3450 W. 131 st St.
Carmel, IN 46074
Terms Job Date P.O. Number Pour Type
Net30 12/1/2011 BT11291113 Slab
Quantity Description Rate Amount
1 Price quoted per Toby 800.00 800.00
1 Had to move truck 1 time additional $100.00 100.00 100.00
PRELIMIARY 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 will be recorded against the property. Total $900.00
Notify us immediately, via fax, if this invoice has been received in error.
Phone# Fax# Balance Due $900.00
812 340 -4504 812- 332 -0718
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 12/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/201' 4056 $900.00
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
i
Date O is r
VOUCHER 113229 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
4056 07- 1052 -03 $900.00
C o NN ect('o^f
Voucher Total $900.00
Cost distribution ledger classification if
claim paid under vehicle highway fund