HomeMy WebLinkAbout169887 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 354683 Page 1 of 1
ONE CIVIC SQUARE E M S A R INDIANA CHECK AMOUNT: $1,077.50
CARMEL, INDIANA 46032 6745 PAYNE ROAD
ON i+ INDIANAPOLIS IN 46203 CHECK NUMBER: 169887
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 4837 290.90 OTHER CONT SERVICES
1120 4350900 4838 125.00 OTHER CONT SERVICES
1120 4350900 4839 330.80 OTHER CONT SERVICES
1120 4350900 4840 330.80 OTHER CONT SERVICES
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6745 PaynefRoad Date Invoice
Indianapolis, IN 46203
P 317 697 -5379 EIN.35- 2152506 2/5/2009 4838
Bill To k Ship`To
Carmel Fire Department Carmel Fire Department
2 Civic Square.. 2
Carmel, IN 46032 Cannel; IN 46032
Attn: Accounts Payable Attn:
P.O. Number Terms Rep ',Ship Ua r. F O B Project
Net 30 TF 2/5/2009 On Site 08700217
Quantity Item Code Description:,:", Price Each Amount
I Ferno P/M Bronze Ferno P/M .;Bronze E r 125.00 125.00
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6745 Payne Road Date Invoice
Indianapolis, IN 46203
P 9 317- 697 -5379 EIN 35- 2152506 2/5/2009 4837
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Carmel Fire Department Carmel Fire Department
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Attn: Accounts Payable Attn:
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P.O. Number Terms 'n -project
Net 30 TF 2/5/2009 On Site 08700200
Quantity Item Code Description Price Each Amount
Femo P/M Bronze Ferno P/M'- Bronze;: a 125.00 125.00
1 152 -5002 CASTER WLO BRAKE 165,90 165.90
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Date.... Invoice
Indiana P alis, IN 46203
P 317- 697 -5379 EIN 35- 2152506 2/5/2009 4839
Bill To Ship To
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032. J R4603-1
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Attn: Accounts, Payable Aitn:'`
P.O. Number Terms Rep Ship Via" F.O.B. Project
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Net 30 TF 2/5/2009 On Site 08700218
Quantity Item Code Description Price Each Amount
I Ferno P/M Bronze Ferno P/M Bronze 125.00 125.00
1 152 -5003 35- P /93 -P CASTER WITH BRAKE W j /WHEEL 205.80 205.80
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6745:PayneRoad d A-
Date Invoice
Indianapolis, IN 46203
P 317- 697 75379 EIN 3572152506 2/5/2009 4840
Bill To Ship To
Carmel Fire Department
Q Fire Department
2 Civic Square 2 Cwic Square
Carmel IN 46032. s,W:.,�. Caimel,N''46032
Attn: Accounts Payable Attn:
P.O. Number Terms Rep ,e. stain r w F.O.B. Pro ject
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Net 30 TF 2/5/2009 On Site 08700219
Quantity Item Code Description Price Each Amount
Ferno P/M Bronze Ferno P/M.- Bronze 125.00 125.00
1 152 -5003 35-P/93 -P CASTER WITH BRAKE- W /WIIEEL i 205.80 205.$0
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$330
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))
4840 Cot PM $330.80
4839 Cot PM $330.80
4837 Cot PM $290.90
4838 Cot PM $125.00
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 NO.
ALLOWED 20
EIVISAR Indiana
IN SUM OF
6745 Payne Road
Indianapolis, IN 46203
$1,077.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 4840 43- 509.00 $330.80 1 hereby certify that the attached invoice(s), or
1120 4839 43- 509.00 $330.80 bill(s) is (are) true and correct and that the
1120 4837 43- 509.00 $290.90
materials or services itemized thereon for
1120 4838 43- 509.00 $125.00
which charge is made were ordered and
rer_.eiveri. except_
MAR 16 2009
d 6 X-; U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund