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178074 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 00352481 Page 1 of 1 ~f ONE CIVIC SQUARE BURTNER ELECTRIC LIGHTING CHECK AMOUNT: $567.92 787 N. 10TH STREET CARMEL, INDIANA 46032 NOBLESVILLE IN 46060 CHECK NUMBER: 178074 CHECK DATE: 10/14/2009 •^EPARTMEN ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 38034 567.92 BUILDING REPAIRS MA 4 INVOME Burtner Electric Lighting 787 N. 10th Street 38034 Noblesville IN 46060 Phone: 317 773 -7663 Fax: 317 776 -3029 INVOICE NUMBER DATE 09/22/2009 LMAYORS CARMEL REFERENCE QUARE O FFICE TELEPHONE IN 4603 AAO ORDER NUMBER: CUST. NO. 29664 106696 CI CA Soldbv: MIKEL JOB,LOCATION JOB DETAILS CARMEL FIRE DEPARTMENT WIRE AND INSTALL 2 PADDLE FAN IN OFFICE WITH FAN CIVIC SQUARE SPEED CONTROLS ALL PAST DUES ARE SUBJECT TO LIEN COST TO WIRE AND INSTALL 2 PADDLE FAN IN OFFICE 567.92 WITH FAN SPEED CONTROLLS PAY THIS Page 1 AMOUNT D 567.92 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)) 38034 $567.92 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 VOUGHER NO. WARRANT NO. ALLOWED 20 Burtner Electric IN SUM OF 787 North 10th Street Noblesville, IN 46060 $567.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 38034 43- 501.00 $567.92 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 OCT 12 2009 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund