HomeMy WebLinkAbout174568 07/09/2009 CITY OF CARMEL, INDIANA VENDOR: 127250 Page 1 of 1
ONE CIVIC SQUARE H.H. GREGG INC
CARMEL, INDIANA 46032 4161 E 96TH ST CHECK AMOUNT: $1,707.00
INDIANAPOLIS IN 46240 CHECK NUMBER: 174568
CHECK DATE: 719/2009
DEPARTMENT AC COUNT P NUMB INVO N UMBER AMOUNT DE SCRIPTION
102 4463300 99247764 1,707.00 APPLIANCES
hh re 0000 H.H. GREGG APPL -INDY CDC DEL #:0000165088
4151 E. 96TH STREET C COMMERCIAL SALE INV #:0099247764
CUSTOMER COPY INDIANAPOLIS, IN 46240 ORD 0140014331
DATE 06/11/09 14:32
(317) 848 -8720 ROUTE SALESPERSON
2205
CUSTOMER NO. 010658 PURCHASE ORDER NO. GARY BRILEY, BETH
SOLD TO CARMEL FIRE DEPARTMENT DELIVER TO CARMEL FIRE DEPARTMENT
ADDRESS ADDRESS
2 CIVIC SQUARE 2 CIVIC SQUARE
CITY /STATE CARMEL CITY /STATE ZIP
PHONE 46032 PHONE CARMEL, IN 46032
(317) 571 -2600
ATTENTION: ATTENTION:
OTHER PHONE( 317) 571-2600 SPECIAL INSTRUCTIONS
DTY, MODEL NUMBER j DESCRIPTION DEL GATE SERIAL NUMBER: LOCC DE TIME T,; PRICE EACH TOTAL
E EL
PE
1 WFW8300SW WASHER WPL,FRONT,.LOAD,WHITE 6/11/0 S 000 C AT 99 588.00 588.00
1 NW PREMIUM SERVICE PLAN DECLINED 6/11/0 L 000 C AT 99 00 .00'
1 WED83 DRYER, WPL,ELEC WHITE 6/11/,0 vj 000 C AT 99
_.5199.....00 59.9.._00.
1 NW PREMIUM SERVICE;: PLAN DECLINED 6/ 1/09 000 C AT 99 .'00 00
1 sINSTDISCl APPLIANCE CANNOT.BE HOOKED UP 6/11/:0 000 C AT 99 00 00
1 INSTDISC2 WITHOUT PURCHASE OF 6/11/0 000 C AT 99 .00 00
VVV
1 INSTD,ISC3 APPLICABLEINSTAliLATION KIT 6/11/0 000 C AT 99 00 .00: 1. 1 8541503 STACK KIT,DUET WPL j6/11/09 000 C AT 99 16.00 16.00
1.,; GU227!5XTVY :DISHWASHER
,WPL, 6/11/,0 000 C AT 99 504:00 504.00'.
1 NW PREMIUM SERVICE PLAN DECLINEDD6/11/09 OOOC C AT 99 .00 .00
I have inspected the above
described merchandise and
accept the merchandise as SUBTOTAL: 1707.00
delivered and no damages are TA .00
TOTAL 1707.00
visible. ACCOUNTS RECET_ -VABLE 1707.00
Delivery has been completed and no damage has COD DUE .00
occurred to our personal property unless noted on this
copy.
OR IGINAL
Customer Signature Date ACCESS INS
DETACH UPPER PORTION AND RETURN WITH YOUR CHECK
INVOICE THAN DATE TRAN TYPE LOC DUE DATE TRAN AMOUNT AMOUNT DUE
0099247764 06/11/2009 Invoice 5462 07/11/2009 1,707.00 1,707.00
CURRENT 1 -30 DAYS 31 -60 DAYS 61 -90 DAYS OVER 90 DAYS
1,707.00 0.00 0.00 0.00 0.00
FINANCE CHARGES TOTAL AMOUNT DUE
0.00 USD 1,707.00
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))
99247764 $1,707.00
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. WARRANT NO.
ALLOWED 20
HH Gregg
IN SUM OF
4161 East 96th Street
Indianapolis, IN 46240
$1,707.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 99247764 102 633.00 $1,707.00 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
JUL 6 2009
b
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund