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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