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171729 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 020500 Page 1 of 1 ONE CIVIC SQUARE BBC PUMP EQUIP CO. INC CHECK AMOUNT: $351.78 CARMEL, INDIANA 46032 777 N TIBBS AVE PO BOX 22098 CHECK NUMBER: 171729 INDIANAPOLIS IN 46222 CHECK DATE: 4/2912009 DEPARTM ACCOUNT PO NUMBER I NVOICE NU MBER AMOUNT DESCRIPTION 601 5023990 077428 351.78 OTHER EXPENSES a., BB Pump and Equipment C®r (pany hc. DATE NUMBER 777 N. Tibbs Ave. P.O. Box 22096 Indianapolis, IN 46222 04/ 03/09 077428 (317) 0 636 -1111 Fax (317) 636 -5467 S CAR225 S INVOICE o CITY OF CARMEL WATER i CARMEL WATER PLANT D WATER UTILITIES P ATTN: DAN T 3450 We 131 STREET T 5484 Ea 126TH STREET O WESTF I E=L D, IN 46074 J o CARMEL, IN 46033 TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT (317)733-2855 0008 TAX EXEMPT LOC.- DATE ORDERED DATE SHIPPED___ SHIP.-VIA JOB NO. ..---GUST ORDER NO._ SALESPERSON CLK TERMS COPY PAGE 0103/30/0904/03/09UPS CRD VERBAL DAN 15 30NET 3 0101 BACK ORDERED INVOICE INVOICE INVOICE INVOICE 01 FUME' FARTS 1 1 017018OOl FYBROC GLAND EA I i I 347.00 4.78 351.78 SALESAMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH CODE A FINANCE CHARGE OF 1'1, PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18 WILL BE INCURRED ON ALL PAST DUE AMOUNTS, ALL CLAIMS FOR DAMAGES AND SHORTAGES MUST BE REPORTED WITHIN SEVEN DAYS OF INVOICE DATE. RECEIVED BY 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 20500 BBC PUMP EQUIPMENT CO., INC. Purchase Order No. 1125 W. 116th St. Terms P.O. Box 22098 Due Date 4/16/2009 Indianapolis, IN 46222 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2009 077428 $351.78 1 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 Officer VOUCHER 091600 WARRANT ALLOWED 20500 IN SUM OF BF3C PUMP EQUIPMENT CRT, C. 1125 W. 116th St. P.O. Box 22098 Indianapolis, IN 46222 A Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 077428 01- 6200 -04 $351.78 Voucher Total $351.78 Cost distribution ledger classification if claim paid under vehicle highway fund