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175682 08/06/2009 CITY OF CARMEL INDIANA VENDOR: 363208 Page 1 of 1 ONE CIVIC SQUARE EVERDAY PAINT WALLPAPER CHECK AMOUNT: $37.79 CARMEL, INDIANA 46032 8512 WESTFIELD BLVD INDIANAPOLIS IN 46240 CHECK NUMBER: 175682 CHECK DATE: 816/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION 1120 4236400 017932 37.79 PAINT M F EVERYDAY PAINT WALLPAPER 0 8512 Westfield Blvd M Indianapoiis, IN 46240 -1911 ('417) ')F1_A1Rrl Invoice No pate Page Invoice 017932 07/22/2009 L Carmel Fire Dept. T Carmel, IN 46032 0 Phone Fax Clerk Terms PO Number Required (317) 571 -2600 MB Cash On Delivery S TA .#46/DAVIS Item Number Description Oty U/M Tax Unit Price Extension 2353B01 SATIN IMPERVO ALK FEN 1.00 GAL $35.00 $35.00 Color Number: TEAL r.,o,� F�� „o• nvw��, ak•lva, aaw� Gulur I ula, P54,0014VM37 0 KS OT PAINT THINNFR 1.00 EA $2.79 $2.79 Total Discount Savings $32.65 SubTotal $37.79 Sales Tax RECEIPT NEEDED FOR CREDIT. 10 DAY LIMIT NO RETURN OF TINTED PAINT OR SPEC ORDERS WALLCOVERING RETURNS WILL INCURR FFFS. Total $37,79 Received By Capt. Jim Davis #340 Td Wdaz:z0 600E EE 'int 2S68TSZZT2T ON Xdd w0cA VOUCHER NO. WARRANT NO. ALLOWED 20 Everyday Paint Wallpaper IN SUM OF 8512 Westfield Boulevard Indianapolis, IN 46240 $37.79 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 017932 42- 364.00 $37.79 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 Quc 32009 7 e Fire Chief 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)) 017932 Paint Sta. 46 $37.79 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