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HomeMy WebLinkAbout178330 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362097 Page 1 of 1 ONE CIVIC SQUARE P K DISTRIBUTORS CHECK AMOUNT: $580.00 CARMEL, INDIANA 46032 2940 W 40 s PERU IN 46970 CHECK NUMBER: 178330 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350080 148665 580.00 STREET LIGHT REPAIRS r [ne n date D zip G as s p i form n �jO qu tity description price amount 1 1 3 1 %Zri v 4 1 1 5 5SI 7 y 6 Al 1 7 1 1 w 8 t° 9. V 1 t. 1 1 1 1 fi• 1 1 12 f 1 1 13 t. 1 1 14 ,r 1 +r r 1 received ny Y ;adams keep this slip for referertce DC5808UV f Y �v y`„�' y�; 3� s{ �•i�, may, 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)) 10/05/09 148665 $580.00 I 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 N ALLOWED 20 PK Distributors IN SUM OF 2940 W. 400 S. Peru, IN 46970 $580.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 148665 43- 500.80 $580.00 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 Fr/#y, t er 09, 2009 Street Commiss4b r V14V• v, Title Cost distribution ledger classification if claim paid motor vehicle highway fund