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HomeMy WebLinkAbout175864 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 362028 Page 1 of 1 ONE CIVIC SQUARE PREMIUM INSPECTION SERVICES CHECK AMOUNT: $250.00 CARMEL, INDIANA 46032 7605 FOREST DRIVE FISHERS IN 46038 CHECK NUMBER: 175864 CHECK DATE: 8/6/2009 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 1125 4350900 622200981949 250.00 OTHER CONT SERVICES 4 E, INVOICE T 622200981949 N S PE.CT l�l srikvieks`. 7605 Forest Dr 317- 536 -8369 Fishers, IN 46038 THE INSPECTION REPORT WILL NOT BE RELEASED UNTIL ALL SERVICES HAVE BEEN PAID IN FULL. DATE OF INVOICE: July 10, 2009 TO: INSPECTION ADDRESS: Carmel Clay Parks c/o Terry Myers 1411E 116th St Carmel IN 46032 DATE: TYPE OF INSPECTION: AMOUNT: 7 -10 -2009 3 Mold Samples ,t $250.00 JUL 1 4 2009 Purchase Description M OLD l N P.O. I P o® KC) d 2009 Budget Line T k n Purchas r Dated >.pproval Date TOTAL FEES: $250.00 PAYMENTS CHECK: CREDIT CARD: EXPIRATION DATE. SECURITY CODE: CURRENT ZIP CODE: SIGNATURE: PAYMENTS: BALANCE DUE: Premium Inspection Services 622200981949 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 362028 Premium Inspection Services Terms 7605 Forest Dr Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7110109 622200981949 A.O. mold inspection 22213 F 250.00 Total 250.00 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 1 20 Clerk- Treasurer d Voucher No. Warrant No. 362028 Premium Inspection Services Allowed 20 7605 Forest Dr Fishers, IN 46038 In Sum of 250.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund P0# or INVOICE NO. A.CCT #/TlTLE AMOUNT Board Members Dept 1125 622200981949 4350900 250.00 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 30 -Jul 2009 Signature 250.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund