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170738 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 025235 Page 1 of 1 ONE CIVIC SQUARE BEHIND THE SEAMS, INC CHECK AMOUNT: $278.00 CARMEL, INDIANA 46032 14544 LYNN AVE NOBLESVILLE IN 46060 CHECK NUMBER: 170738 CHECK DATE: 4/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 113871 278.00 OTHER CONT SERVICES BEHIND THE SEAMS INC: INVOICE NO: 87 14544 AVENUE' FISHERS, IN 46038 IN VO ICE 3177 776 SO F SHIPPED TO VIA iop ADDR ADDRESS CITY, yATE, ZIP CITY, STATE, ZIP CUSTOMER'S ORDER SA LESPERSON,,�,_ T Fo;B. DATE �I �3 s w 10 8740 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)) 113871 Repair Hosebed Covers SCBA Bags $278.00 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. WAR NO. ALLOWED 20 Behir;d the Seams IN SUM OF 14544 Lynn Avenue Fishers, IN 46038 $278.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 113871 43- 509.00 $278.00 I 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 APR 13 2009 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund