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172333 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 361195 Page 1 of 1 ONE CIVIC SQUARE GRAY'S MAINTENANCE PROPERTY SE Rv CARMEL, INDIANA 46032 P D BOX ss CHECK AMOUNT: $835.00 WESTFIELDIN 46074 CHECK NUMBER: 172333 CHECK DATE: 5/13/2009 DEP ARTMENT ACCOUNT PO NUMB IN VOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 835.00 BUILDING REPAIRS MA Apr 28 09 09:21 a p.1 GRAYS AIMINTEN4NCE PR OPERTY SER VICES P.O. BOX 55 WESTFIELD, IN 46074 Mobile 317- 370 -4338 April 29, 2009 Civic Square Carmel, IN 46032 ATTN: Denise WATER REPAIR INVOICE: Friday 17th Fire Station 136TH. Street Repair requested Jim Davis Dig expose water line Replace approximately 2ft.of 2" k copper two 2 "couplings Leak, do to hole in copper TOTAL. MATERIAL AND LABOR: $835.00 Thank you, Q v� Gray Castor 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)) Repair Water Leak $835.00 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 N ALLOWED 20 Gray's; Maintenance Property Services IN SUM OF P.O. Box 55 Westfield, IN 46074 $835.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 43- 501.00 $835.00 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 M AY 11 9009 r �_t Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund