HomeMy WebLinkAbout205322 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352992 Page 1 of 1
ONE CIVIC SQUARE ULTIMATE CARWASH
CHECK AMOUNT: $403.00
CARMEL, INDIANA 46032 431 E CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 205322
CHECK DATE: 115/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4351100 25949 123111 403.00 CAR WASH TICKETS
'S
Ultimate Car Wash
431 E. Carmel Drive
DATE
TOTAL 0 3/
INVOICE
December 21, 2011
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
76 Car Wash Tickets 52 x $5.28 $275.00
24 x $5.33 $128.00
TOTAL AMOUNT DUE: $403.00
Please make check payable to:
Duke's Ultimate Car Wash
431 E. Carmel Drive
Carmel, IN 46032
INDIANA RETAIL TAX EXEMPT PAGE
C of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO:-. VENDOR NO. DESCRIPTION
1
92= M99
Duko'z Uitimota C@rWmh Cmiol Pollco DGpartmont
VENDOR SHIP 3 CIVIC; squm
439 F.. C @rmol DdVG TO Cumol, IN 4M
Curel, IN 412 (398) 579 =2i
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43. 619.00
70 Each car wash 9ia ets $5.30 $403.00
Barb Totd: $403.00
0
-4
jil I
4
Send Invoice To: r/' <4 l o
CznneI P ®lice DepaAmont
Attn: TG=2 Andof zon
3 CIVIC sqddr3lil'J
Comol, IN 4e2° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Coinel Police Dept. _.C_") PAYMENT .0
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION F IENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL f�
SHIPPING LABELS. o f ®I police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO- 2594 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duke's Ultimate Car Wash
IN SUM OF
431 E. Carmel Drive
Carmel, IN 46032
$403.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
25949 I 43- 511.00 I $403.00
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
T uesday, January 03, 2012
l
Chief of Police
Title
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))
12/21/11 car wash tickets $403.00
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
2a
Clerk- Treasurer