HomeMy WebLinkAbout205965 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
CARMEL, INDIANA 46032 547 E 161ST ST CHECK AMOUNT: $195.00
WESTFIELD IN 46074 CHECK NUMBER: 205965
CHECK DATE: 1/3112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1392 195.00 REPAIR PARTS
PICKETT'S PLACE MWO U O CE
547E 161ST Invoice Number:
WESTF /EL®, IN 46074 1392
Voice: 317 896 -3271
Invoice Date
Sold To:
Fax: 317 896 -2036 Jan 21, 2012
Page
1
Camel Street Department
3400 West 131st street
WESTF /EL®, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL JEFF Cust. Pickup Net 30th of Next 2/29/12
STFIAIA RT Unnth
Quantity Item Desc Unit Price Amount
20.00 STAINLESS STEEL WASHERS 7.50 150.00
TOOL MADE TO DRIVE IN SEALS 45.00
I
Subtotal 195.00
Sales Tax
Total Invoice Amount 195.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 195:00
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))
01/21/12 1392 $195.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF
547 E. 161 st St.
Westfield, IN 46074
$195.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 1392 42 370.00 $195.00 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
r
�Thursday January/26 2012
Street Commissioner
:;i PPI
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund