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177662 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 105285 Page 1 of 1 ONE CIVIC SQUARE GAYLOR ELECTRIC INC CHECK AMOUNT: $652.27 CARMEL, INDIANA 46032 PO BOX 3757 CARMEL IN 46082 CHECK NUMBER: 177662 CHECK DATE: 9/29/2009 DEPARTME ACCOU PO N INVOIC NUMBER AMO DESC 1047 4350100 90702 652.27 BUILDING REPAIRS MA REMIT TO: vrs- 1 L G AYLOR P.O. Box 3757 WE GLADLY ACCEPT Corporate Offices Carmel IN Visa MasterCard American Express 317.843.0577 Fax 317.848.0364 Carmel IN 46082 -3757 800.878.0577 http: /www.gaylor.com FED ID# 20- 3727689 Invoice 90702 A10 �0 41 Bill to: Job: Carmel Clay Parks Recreatio The Monon Center 1427 E 116th St 1235 Central Park Drive E Carmel, IN 46032 Carmel IN 46032 Invoice 90702 Date: 08/19/09 Customer P.O. 22291 Payment Terms: NET 30 Salesperson: Customer Code: CARCLX Remarks: The Monon Center WO# 819209 Fabricated covers, painted and installed three on well lights as quoted. Quoted Price Other 652.27 Subtotal: 652.27 Total: 652.27 Purchase FLT G Po L_ Ll G N T l N 6 P.O.# Pat n10 G.L LI-1 100 310 4 3 501(D Bud et une �Idrn. rer�rzir5mr� Pumhaaer Dft--.... e PP1OY Date_,.. Page: 1 ACCOUNTS PAYABLE VOUCHER r CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 105285 Gaylor Terms P.O. Box 3757 Carmel, In 46082 -3757 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8/19/09 90702 Flag pole lighting repairs MC 22291 F 652.27 Total 652.27 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 105285 Gaylor Allowed 20 P.O. Box 3757 Carmel, In 46082 -3757 f In Sum of$ v 652.27 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. kCCT #/TITLl AMOUNT Board Members Dept 1047 90702 4350100 652.27 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 24 -Sep 2009 Signature 652.27 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund