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206630 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1 ONE CIVIC SQUARE CARMEL WELDING SUPP INC CHECK AMOUNT: $275.85 CARMEL, INDIANA 46032 550 S. RANGELINE RD CARMEL IN 46032 CHECK NUMBER: 206630 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350000 328388 275.85 EQUIPMENT REPAIRS M 3z$s DATE INVOICE 1/31/12 328388 TIME CARMEL WELDING AND SUPPLY I 14:57:16 550 South Rangeline Road M000642 SALESMAN Carmel, Indiana 46032 WORK ORDERI 009/003 317- 846 -3493 www.Carmelwelding.com 86117 j STORE PAGE I 1 1 of 1 Terminal 12 (317) 573-4044 (31 573-4044 BILL TO ACCOUNT: 3093 SHIP TO ACCOUNTe 3093 CARMEL CLAY PARKS AND REC. CARMEL CLAY PARKS AND REC. 1411 EAST 116TH STREET 1411 EAST 116TH STREET CARMEL, INDIANA 46032 CARMEL, INDIANA 46032 Tax Exemption 002423120001 WWW.CARMELWELDING.COM Plese keep receipt 0086117 -126 for parts returns within 30 days. 20o restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O kINEI PART NUMBER DESCRIPTION LIST NET AMOUNT TRAILER CALL WITH ESTIMATE REPAIR WIRING 1 1 HIT11 -704 7 WAY NYLON PLUG 9.95 9.95 1 1 MIS1 WIRE 12.00 12.00 2 2 HIT1 LIGHT ROUND RED 10.00 20.00 2 2 HIT143 -18 2 1 2 GROMMET 1.95 3.90 1 1 L081 REPAIR TRAILER WIRING 380.00 380.00 TRAILER NEEDED TWO NEW LIGHTS INSTEAD ON JUST ONE THAT WAS QUOTED ORIGINALLY -1 -1 L081 CREDIT PER BILL JR 150.00 150.00CR CREDIT IS BEING GIVEN BECAUSE OF CONFUSION WITH PRICE QUOTE WITH TWO TRAILERS..PER BILL JR AND DAWN AT CCPD FEB 1 72012 Purchase C �i c 6jwl 0 Description P.O. may` P or FQ G.L. Budget Line Desct Purchaser Date Approv SUB TOTAL 45 .85 CHARGE SALE MISC. 0.00 LABOR 230.00 TAX 7.000 0.00 Signature INVOICE TOTAL 275.85 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 051000 Carmel Welding Terms 550 S Rangeline Rd Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/31/12 328388 Electrical repair to trailer 30440 275.85 Total 275.85 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. 051000 Carmel Welding Allowed 20 550 S Rangeline Rd Carmel, IN 46032 In Sum of 275.85 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 328388 4350000 275.85 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 23 -Feb 2012 p MJ2w Signature 275.85 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund