HomeMy WebLinkAbout168348 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362455 Page 1 of 1
s b ONE CIVIC SQUARE BACKFLOW TEST EQUIPMENT
CARMEL, INDIANA 46032 2313 WEST STATE ROAD 32 CHECK AMOUNT: $100.00
WESTFIELD IN 46974
CHECK NUMBER: 166348
CHECK DATE: 214/2009
DEPARTMENT A CCOUNT PO NU INV OICE NUMB AMOUNT DESCRI
601 5023'990 01200902 100.00 OTHER EXPENSES
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fir:;.
Backflow
Test
Equipment
F04 N
2313 West State Road 32
Westfield, IN. 46074
(317) 966 -2960 FAX 867 -2667
www.backfiowtesteguipment.com
Invoice Num6er zoo C9/0 Z
Sold loo: 6 or, m E L kj A 19 J1
QY Description Each Total
Gage Calibration Z)% /00 Ot> a /Q� D
Gage Re6uild Kit- BrEI, Watts
Labor
Back flow `rest Xit B -3 Student Discount $725.00
Assorted Fittings Tu6e $52.00
Bleed Valve Arrangement XV By
Indiana Safes lac
Freight
naT (ALIRRAT100 K PUI 0 14Z
A f2)
7oZAL /00,00
We appreciate your business andif you have any questions please callus.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
362455
BACKFLOW TEST EQUIPMENT Purchase Order No.
2313 WEST STATE ROAD 32 Terms
WESTFIELD, IN 46074 Due Date 1/27/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/27/2009 01200902 $100.00
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
Date Cer
V ,PCHER 084314 WARRANT ALLOWED
362455 IN SUM OF AER BACKFLOW TEST EQUIPMENT, Q
2313 WEST STATE ROAD 32
WESTFIELD, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
01200902 01- 6360 -06 $100.00
Voucher Total $100.00
Cost distribution ledger classification if
claim paid under vehicle highway fund