HomeMy WebLinkAbout167998 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00351836 Page 1 of 1
ONE CIVIC SQUARE GASOLINE EQUIPMENT CHECK AMOUNT: $51.02
CARMEL, INDIANA 46032 PO BOX 10474
FORT WAYNE IN 46852 CHECK NUMBER: 167998
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 13198801 51.02 TRANSPORTATION EXPENS
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INVOICE
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INVOICE 131988-01
NUMBER
INVOICE 12/29/2008
4422 EARTH DRIVE -FORT WAYNE, INDIANA 46809 (260) 747 -5088 DATE
REMIT TO: P.O. BOX 10474 FORT WAYNE, IN 46852
S Carmel Utilities S Carmel Utilities
O Water Wastewater H Water Wastewater
L 760 3rd Ave. SW, Ste 110 1 760 3rd Ave. SW, Ste 110
D Carmel, IN 46032 P Carmel, IN 46032
T T
O O
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12- 18 -2 -00 8 P U -NET- 10 -DAY S -3 -1 -6
NO PCD PART NUMBER LC DESCRIPTION ORDERED SHIPPED
PRICE DISC UNIT COST UM COST
1 MOR 155- 0500AV 2 2 T -VENT 1 1
21.39 .0000 21.39 EA 21.39
2 MOR 179MCI- 21001C 2 2 MALE FILL CAP 1 1
8.99 .0000 8.99 EA 8.99
3 UNI U -TD -1993 2 1993 DIAMOND DECAL 4 4
3.07 .0000 3.07 EA 12.28
4 UNI U- PD176R -12 2 DIESEL HIGH SULFUR 0 4 4
2.09 .0000 2.09 EA 8.36
MATERIAL TOTAL 51.02
AMOUNT DUE 51.02
TAX EXEMPT NO:003 120 1550010 PAGE 1
MINIMUM BILLING $10.00
A FINANCE CHARGE OF 1 1/2% PER MONTH (18% ANNUAL RATE) WILL BE ADDED TO ALL PAST DUE ACCOUNTS
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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 4
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00351836
GASOLINE EQUIPMENT Purchase Order No.
P.O. Box 10474 Terms
Ft. Wayne, IN 46852 Due Date 12/29/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/20M 13198801 $51.02
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 087036 WARRANT ALLOWED
00351836 IN SUM OF
GASOLINE EQUIPMENT
P.O Box 10474
Ft.. Wayne, IN 46852
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
7
Board members
PO INV ACCT AMOUNT Audit Trail Code
13198801 01- 7502 -06 $51.02
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Voucher Total $51.02
Cost distribution ledger classification if
claim paid under vehicle highway fund
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