178243 10/14/2009 *,r CITY OF CARMEL, INDIANA VENDOR: 360777 Page 1 of 1
Q� ONE CIVIC SQUARE KING TYPEWRITER AGENCY INC CHECK AMOUNT: $503.50
CARMEL, INDIANA 46032 3612 W 500 N
FAIRLAND IN 46126 CHECK NUMBER: 178243
CHECK DATE: 1011412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 14828 503.50 EQUIPMENT REPAIRS M
King Typewriter Ageneyjnc. Invoice
3612 W. 500 N
Fairland, IN 46126 DATE INVOICE
Phone 317- 632 -4066
9/1 /2009 14828
BILL TO
Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
317 -571 -2559
P.O. NO. TERMS
Due on receipt
DESCRIPTION QTY RATE AMOUNT
ISM WW15 II-DV997
Shop Service: Clean and oil, Replace following parts and supplies. 125.00 125.00
Carrier Motor 1 48.50 48.50
IBM W W 1500 1 1 -MR576
Shop Service: Clean and oil. Replace Iollowing parts and supplies. 2 65.00 130.00
Rep] logic board and ribbon plate
System Board 1 135.00 135.00T
Ribbon Plate 1 65.00 ;14 .00T
Sales Tax 7.00%
30 Day Warranty On Work Performed Only Total
lb
$51 0
Federal ID 35- 0955231
Pr ribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
King Typewriter Agency, Inc. Purchase Order No.
3612 W. 500 N Terms
Fairland, IN 46126 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/1/09 14828 payment for repairs for 2 typewriters SIDUaRx 503.50
Total
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.
d ALLOWED 20
K ing Typewriter Agency, Inc.
IN SUM OF
3612 W 500 N
Fairland, IN 46126
503.50
ON ACCOUNT OF APPROPRIATION FOR
p olice general fiend
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 14828 500 503.50 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
October 6 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund