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206205 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350277 Page 1 of 1 ONE CIVIC SQUARE DEERING CLEANERS i 0 CHECK AMOUNT: $199.46 CARMEL, INDIANA 46032 602 N CAPITOL AVE 4 INDIANAPOLIS IN 46204 -1206 CHECK NUMBER: 206205 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350600 199.46 CLEANING SERVICES STATEMENT Deering Cleaners Page: 1 602 N. Capitol Ave. Closing Date: 02/01/2012 Indianapolis, IN 46204 (3 17) 251 -6740 Due Date: 02/29/2012 Account DE 109 Cannel Fire Dept. Gary Carter Remit To: Deering Cleaners Two Civic Square 602 N. Capitol Ave. Carmel, IN 46032 Indianapolis, IN 46204 DATE REFERENCE DESCRIPTION AMOUNT Carmel Fire Dept. 01/05/12 DE -01- 100880 DryCleaning 7.09 01/23/12 DE -01- 104803 Drycleaning 19.50 01/31/12 DE -01- 107140 DryCleaning 32.08 01/31/12 DE -01- 107141 Laundry 2.24 Subtotal: 60.91 Carmel, Harrington A 01/10/12 DE -01- 101610 DryCleaning 11.81 01/10/12 DE -01- 101611 Laundry 2.24 Subtotal: 14.05 Carmel, Hutchison B 01/27/12 DE -01- 106198 Drycleaning 28.00 Carmel, Marcum B 01/06/12 DE -01- 101150 Drycleaning 28.00 01/06/12 DE -01- 101155 Drycleaning 7.00 Subtotal: 35.00 Carmel, Mowery A. 01/11/12 DE -01- 101676 Drycleaning 28.00 01/11/12 DE -01- 101678 Drycleaning 5.50 Subtotal: 33.50 Carmel, Thompson J 01/11/12 DE -01- 101671 Drycleaning 28.00 indicates a paid invoice Previous Balance: 0.00 Total Payments: 0.00 New Charges: 199.46 CURRENT 30 DAYS 60 DAYS 90 DAYS BALANCE DUE 199.46 0.00 0.00 0.00 199.46 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)) $199.46 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 Deering Cleaners IN SUM OF 602 North Capitol Avenue Indianapolis, IN 46204 $199.46 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members 1120 I I 43- 506.00 I $199.46 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 FER 1. 3 7M2 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund