HomeMy WebLinkAbout179170 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00353110 Page 1 of 1
0 ONE CIVIC SQUARE COWPOKES CHECK AMOUNT: $152.99
CARMEL, INDIANA 46032 27498 US 31
�;i)uH.io ARCADIA IN 46030 CHECK NUMBER: 179170
CHECK DATE: 11/1112009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
:2201 4356001 372 152.99 UNIFORMS
COWPOKES Invoice
1812 EAST 53rd STREET
Date Invoice
ANDERSON, IN 46013
11/2/2009 372
Bill To Ship To
CARMEI, STREET DEPT
3400 W 131ST ST
WESTFIELD. IN 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
SEPT 11/2/2009
Quantity Item Code Description Price Each Amount
1 6717 ROCKY ST TOE BOOT 1 1 D 152.99 152.991'
0.00% 0.00
Thank you for your business.
Total $152.99
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, t;;y
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
ra
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/02/09 372 $152.99
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
20
Clerk- Treasurer
VOUCHER NO. WAR NO.
Cowpokes ALLOWED 20
IN SUM OF
27498 U.S. 31 North
Arcadia, IN 46030
$152.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member
2201 372 43 560.01 $152.99 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
4 Thursday! Novernrber 05, 2009
t -4
Street Commiss b�
Stree:.;5-- nissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund