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180044 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 360326 Page 1 of 1 ONE CIVIC SQUARE CULTURE LIGHTING CO INC CARMEL, INDIANA 46032 5329 W 86TH ST BLDG #6 CHECK AMOUNT: $105.84 INDPLS IN 46268 CHECK NUMBER: 180044 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4238900 1056207 105.84 OTHER MAINT SUPPLIES :l Remit T o: f' I N V O I C E VIS[T OUR NEBSITE aMw.culturelighting.con E-MAIL US- nail @culturelighting.con ta��E�Ilg� pp �1056201 2.1.4di Yl, C0.,-Inc. UCl ®o 5329 -West 86th St reet Bldg. #6 INVOICE DATE �Indianap olis> 1N 46268 PICK TICKET E 22851 0000086918 Work: 317 471 -1129 Fax: 317 471 -1218 CUSTOMER'S Toll Free: 1- 800 -844 -1845 ORDER NO. .SOLD W.19 SHIP TO: CARMEL CLAY PARKS 6 RECREATION MONON CENTER 1 ATTN: ACCOUNTS PAYABLE JEREMY CELL 432-2640 1411 EAST 116TH STREET 1235 CENTRAL PARK DRIVE NEST CARMEL IN 46031-3455 P.O. 21851 CARMEL IN 46032 SALESMAN Y01 SHIPPED VIA TERMS NET 20 DAYS F.O.B. 0 0 `o 1s i o f o� o of 1 i i 24.0 24.0 PLT26 4PIN 32426T 41K 4.4100 105;84 NO DELIVERY CHARGE BACKORDER FROM INVI: 1056111 1 NOV 1 9 2009 Purchase Descripw 3 L P.O. 5d Po(k) no O.L i L Z,/ Bud Une Dew Purchaser Date SUBTOTAL 105184 APP Date TAX 000 TOTAL 105;84 ADVANCE PAYMEN TOTAL DUE T84 72 WE ACCEPT VISA AND MASTERCARD INVOICE 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. 360326 Culture Lighting Co., Inc. Date Due 5329 W. 86th St. Bldg. 6 Indianapolis, IN 46268 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 11/16/09 1056207 Lighting 22852 F 105.84 Total 105.84 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. Warrant No. Allowed 20 360326 Culture Lighting Co., Inc. 5329 W. 86th St. Bldg. 6 Indianapolis, IN 46268 In Sum of 105.84 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 1056207 4238900 105.84 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 3 -Dec 2009 Signature 105.84 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund