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177665 09/29/2009 F CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1 ONE CIVIC SQUARE GEORGE E BOOTH CO INC CHECK AMOUNT: $878.77 CARMEL, INDIANA 46032 8202 W 10TH STREET INDIANAPOLIS IN 46214 CHECK NUMBER: 177665 t CHECK DATE: 9/2912009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION 1047 4350100 153661 878.77 BUILDING REPAIRS MA I l I I MAIL REMITTAIE TO: INVOICE INVOICE NUMBER I` 00.153661 1 ENTERING OFFICE 11� George E Booth Co., Inc. INVOICE DATE I George E. Booth Co., Inc. George-E. Booth Co., Inc. 8202 West 10th Street O 8/31 9__1 ATTN: Accounts Receivable Indianapolis IN 46214 PAGE 8202:West 10th Street USA 1/1 Indianapolis IN 46214 USA Cust N0. Dale Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc C1149 08/14/09 08/31/09 RON FRATZKE STAND 01 01 Ship Method Terms Of Payment FOB UPS Ground NET 45 DAYS Shipping point Customer PO No. Mark Number G2431_� Tracking numbers: 1Z4418480370865843 ORDERED ORDERED SHIPMENT NO. DE CRIPTiON, UOM U NIT DISCOUNT EXTENDED' MOUNT 0010 2.00 0.00 2.00 SC8221G007,24/60 EA 451.0000 856.90 VALVE, SOLENOID, 1 ",2W,NC,BR 5.00% Purchase Descripi.ion �oss 501fo1ds P.O. as y3/ P or© G.L.# yZO _�lD� �F3Sb /b0 Budget UneDescr Go lfS��L Purchaser._____ paft Approval pate Phone:317- 247 -0100 V a AMOUNT 856.90 SO 00062525 FRGHT /INS /HNDL 21.87 PL 00064518 q�� 0 2 1009 SALES TAX 0.00 AMOUNT DUE 878:77: 11 BY...... R CARMEL CLAY PARKS RECREATION s MONON CENTER 1411 E. 116TH STREET H' ATTN: JEREMY KERR PO# 22431 CARMEL IN 46032 PI 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 T T 0, 0 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. 353520 George E Booth Co., Inc. Terms 8202 West 10th Street Date Due Indianapolis, IN 46214 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8/31/09 153661 Brass solenoids 22431 F 878.77 Total 878.77 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. 353520 George E Booth Co., Inc. Allowed 20 8202 West 10th Street Indianapolis, IN 46214 In Sum of 878.77 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. NCCT #/TITL1 AMOUNT Board Members Dept 1047 153661 4350100 878.77 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 878.77 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund