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205419 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1 ONE CIVIC SQUARE CARMEL WELDING SUPP INC k CHECK AMOUNT: $30.68 CARMEL, INDIANA 46032 550 S. RANGELINE RD CARMEL IN 46032 CHECK NUMBER: 205419 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4238000 324051 23.98 SMALL TOOLS MINOR E 1207 4350000 324051 6.70 EQUIPMENT REPAIRS M DATE 1NVQL_CF' i 1/06/12 327910 TIME CARMEL WELDING AND SUPPLY I 8:38:38 550 South Rangeline Road SALESMAN Carmel, Indiana 46032 WORK ORDER I 007/007 317- 846 -3493 www.CarmelWelding.com STORE PAGE I 1 1 Of 1 Terminal 12 (317) 846-7431 (317) 846-7431 BILL TO ACCOUNT: 2004 SHIP TO A('COUNT* 9,004 BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB CITY OF CARMEL -ATN P.BLOCKUMS CITY OF CARMEL -ATN P.BLOCKUMS 12120 BROOKSHIRE PARKWAY 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033 CARMEL, IN 46033 Tax Exemption 0031201550 -0 WWW.CARMELWELDING.COM Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP I B O kINEI PART NUMBER I DESCRIPTION LIST NET AMOUNT 1 1 STI0000- 350 -0525 FILLER CAP ASSY. 6.70 6.70 SUB TOTAL 6.70 CHARGE SALE MISC. 0.00 LABOR 0.00 TAX 7.000 0.00 Signature INVOICE TOTAL 6.70 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, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/06/12 327910 Filler Cap $6.70 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 Carmel Welding IN SUM OF 550 S. Rangleline Road Carmel, IN 46032 $6.70 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 327910 43- 500.00 $6.70 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 Wednesday, January 11, 2012 A41 Director, Brookshire 6Qf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Jan 0512 11:44a Carmel Welding 3178488760 p.1 DATE INVOICE 8/31/'11 3240D TIME CARMEL WELDING AND SUPPLY P/0 NUMBER 10:03:22 550 South Rangeline Road SALESDIAN Carmel, Indiana 46032 RK ORDER! 009/009 317 -846 -3493 www.Carmelwelding.com STORE E i Terminal 19 �3 S71-2283 017'1 571-2263 BILL TO ACCOUNT* 3112 SHIP TO ACCOUNT: 3112 CARMEL DEPT COMMUNITY SERVICES RRMEL, RMEL DEPT COMMUNITY SERVICES ONE CIVIC SQUARE E CIV =C SQUARE CARMEL, NDIANA 46032 INDIANA 46032 Tax Exemption J=: CO3120 155002 WWW.CAPMELWELDING.COM---- ?lese keep receipt for parts returns within 30 days. 20's restocking SHIPPED VIA: CUSTOMER KUP c�arge. No return on electrical or special- orders ORD I SHIP B O k:rNrl PART NUMBER I DESCRIPTION IhdST I XET AMOUNT 2 1 STI0000- 386 -C408 HYGIENE KIT t 1 .:2 .99 23.98 i DUPLICF1TE.COPY SUB TOTAL 23.98 CHARGE SALE MISC. 0.00 LABCR 0.00 TAX 7.000 0.00 Signature INVOICE TOTAL 23.98 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, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/31/11 324051 Kit for hard hats $23.98 I 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 Carmel Welding IN SUM OF 550 S. Rangeline Road Carmel, IN 46032 $23.98 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 1192 I 324051 I 42- 380.00 $23.98 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 Thursday, January 12, 2012 it Title Cost distribution ledger classification if claim paid motor vehicle highway fund