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
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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
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27398 139 11/09/11 3749
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BaskOrtieretf Descri ion Customer Part No
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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