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206721 02/28/2012
CITY OF CARMEL, INDIANA VENDOR: 362844 Page 1 of 1 ONE CIVIC SQUARE JOHN M WOOLEY LUMBER CO INC i CHECK AMOUNT: $216.00 �la CARMEL, INDIANA 46032 1118 a sores ST INDIANAPOLIS IN 46205 -4010 CHECK NUMBER: 206721 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 351507 216.00 BUILDING REPAIRS MA 351507 1 06 Q: CUSTOMER'S ORDER NO. DEPT. DATE: a /0 /Z NAME: ADDRESS: CITY, STATE, ZIP SOLO BY: CASH C.O.D. CHARGE ON ACCT. MDSE RTD. PAID OUT L.. QUANTITY DESCRIPTION PRICE AMOUNT 2 t 3 4f 5 11 1. ikcc ount 6 xecourlt S C. 9 y A ccount 11 12 1 r _n 13 1 15 d' RECEIVED BY: KEEP THIS COPY FOR YOUR RECORDS z E= r ©2041 REQIFORMB 51-320 r VOUCHER NO. WARRANT NO. ALLOWED 20 John M. Wooley Lumber Co. Inc. IN SUM OF ,t7 D $216.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 351507 43- 501.00 $216.00 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 Monday, February 20, 2012 Director, Brooksh Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 02/10/12 351507 lumber $216.00 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