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