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HomeMy WebLinkAbout205515 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00351569 Page 1 of 1 ONE CIVIC SQUARE KELLER RIVEST CHECK AMOUNT: $2,123.00 t�,ra CARMEL, INDIANA 46032 6935 BROOKVILLE ROAD INDIANAPOLIS IN 46239 -1003 CHECK NUMBER: 205515 CHECK DATE: 1/1712012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 24142 25.00 REPAIR PARTS 2201 R4237000 27398 24142 2,098.00 PUMP REPAIRS ll l /Ll /uI I /4Yl_U I_If:71 AM iAx. N0, F. UUI/ULII Invoice 24142 Invoice Date 11/10/11 Keller Rivest 6935 Brookville Rd Indianapolis, IN 46239 Telephone: 317/359 -9000 Bill To: Ship To: Carmel Utilities Carmel W.W.T.P. 760 Third Ave. SW 9609 Hazel Dell Parkway Suite 110 Indianapolis, IN 46280 Carmel, IN 46032 i P T.. CARWAS Net 30 Da s >rucliase:CtderNpmber alestserson.........::Ordet:; Rate.. i::;.Qur;Urder.::N ur�,t��r.... 27398 139 11/09/11 3749 t,�i28t1ti S1 it If® rr£ IVirYitser �Y....Al? .........of knit:PrEce::::: uantrty(2rderecf �xtended.l� rice.. BaskOrtieretf Descri ion Customer Part No 3?t 1 1 AURORA 2098.00 2098.00 0 Part#443- 2664 -208 Impeller trimmed to 10.6875' N 1 1 SHIP 25.00 25.00 0 Shipping Charges N Net due on 12/10/11 Nontaxable Subtotal 2123.00 Taxable Subtotal 0.00 Tax 0.00 Total Invoice 2123:0)3 Customer Original (Reprinted) Page 1 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)) 11/10/11 24142 $2,098.00 11/10/11 24142 $25.00 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 Keller Rivest IN SUM OF 6935 Brookville Road Indianapolis, IN 46239 $2,123.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 27398 24142 42- 370.00 $2,098.00 1 hereby certify that the attached invoice(s), or 2201 24142 42- 370.00 $25.00 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 '/W ednesday, J nuary 11, 2012 Street Commissioner �J I:GG V III: IIJJI VIII Title Cost distribution ledger classification if claim paid motor vehicle highway fund