HomeMy WebLinkAbout180169 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363629 Page 1 of 1
ONE CIVIC SQUARE KWIK -DRY
CARMEL, INDIANA 46032 CHECK AMOUNT: $64.00
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PENDLETON IN 46064 CHECK NUMBER: 180169
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 64.00 OTHER CONT SERVICES
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CARPET I�
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Residential Commercial
Kwik Dry Phone: (317) 727 -5325
7857 S. 750 W. E -mail: jalverson @kwikdryindy.com
Pendleton, IN 46064 Web: www.kwikd in
rY� d y. com
Billing Address: Invoice Summary:
Amount DuA 64 G L)
v, et I Invoice Date: i 1 U
Due Date: U
Details: �J I)
Description: Amount:,
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Subtotal:• L l, o o
Total: o o
Notes:
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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))
$64.00
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
Kwik -Dry
IN SUM OF
7857 S. 750W
Pendleton, IN 46064
$64.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 509.00 $64.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund