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205627 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 365407 Page 1 of 1 ONE CIVIC SQUARE WAYMIRE A.P.S. CARMEL, INDIANA 46032 820 CHADMK STREET CHECK AMOUNT: $58.90 INDIANPOLIS IN 46225 CHECK NUMBER: 205627 OK CHECK DATE: 111712012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 281213 58.90 REPAIR PARTS WAYMIRE A.P.S., INC. d /b /a THE WAYMIRE GROUP 820 Chadwick Street, Indianapolis, IN 46225 TEL: (317) 634 -4824 FAX: (317) 634 -4833 Warehouse Tel: (317) 631 -7551 Fax: (317) 631 -7552 BUSINESS HOURS: 8:00 -5:00 MON -FRI CLOSED SAT /SUN ACCOUNT CPD50 INVOICE 281213 DATE....: 01/10/12 PO JASON OGLE Stk /Rel PURCHASED BY: SHIPPED /DELIVERED TO: CARMEL POLICE DEPT CARMEL CITY GARAGE 3 CIVIC SQUARE 3400 W 131st ST CARMEL, IN. 46032 WESTFIELD, IN. 46074 317 733 -4600 317 733 -4600 TERMS: PAYMENT DUE IN FULL WITHIN 30 DAYS OF INVOICE DATE,THANK YOUi DESCRIPTION: UPS VEHICLE: YEAR 2007 WC CAPACITY: WDH CAPACITY: SLS PER: FLTMK Tag MAKE CHEVROLET GTW: N/A GTW: N/A MECH.. MODEL: TAHOE TW N/A TW N/A WRNTY JS QTY PART ITEM DESCRIPTION MFG SRP COST EA PARTS LABOR TOTAL 1 SSFPOS POS HEADLIGHT FLASHER 72.00 49.00 49.00 49.00 Call US for QUALITY Products Service! Ref: W# 105054 MERCHANDISE 49.00 SALES TAX 0.00 RECEIVED BY S &H /COD, ETC 9.90 Amount Method of Payment... INVOICE TOTAL..$ 58.90 Invoice Total Charged To Customer Account AMOUNT RCVD....$ 0.00 BALANCE DUE 58.90 Use of provided equipment in any vehicle is the driver's responsibility. VOUCHER NO. WARRANT NO, ALLOWED 20 Waymire A.P.S., Inc. IN SUM OF 820 Chadwick Street Indianapolis, IN 46225 $58.90 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1110 281213 I 42- 370.00 I $58 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 Thursday, January 12, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 01/10/12 281213 repair parts $58.90 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