HomeMy WebLinkAbout171927 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 361119 Page 1 of 1
ONE CIVIC SQUARE LUBRICATION SPECIALISTS OF NE FL
i 0 CHECK AMOUNT: $865.00
CARMEL, INDIANA 46032 4941 MARINERS POINT DR
JACKSONVILLE FL 32225 CHECK NUMBER: 171927
CHECK DATE: 4/29/2009
DEPARTMENT ACC OUNT PO NUMBER INVOI NU MBER AMOUNT DESCRIPTION
1207 4238900 030909 865.00 OTHER MAINT SUPPLIES
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I
www.prolong- usa.com Lubrication Specialists of NE Florida, LLC
I N V O 1 C E
INVOICE 030909 DATE: 03 -19 -09
PO VERBAL TERMS: NET 30
SKIP VIA: PALMER SALESPERSON: PALMER 317 -402 -0093
SOLD TO: SHIP TO:
BROOKSHIRE GOLF COURSE SAME
CITY OF CARMEL
ATTN: KEN MILLER- ASSISTANT MGR.
ITEM QTY DESCRIPTION PRICE TOTAL
64018 4 PROLONG WATERLESS WASH SHINE- 5 GAL $125.00 $500.00
60018 2 PROLONG SUPER PROTECTANT- 5 GAL $175.00 $350.00
www.prolong- usa.com
SUB TOTAL $850.00
TAx
INV. PROCESSED THANK YOU SHIPPING $15.00
TOTAL $865.00
PLEASE REMIT TO:
LUBRICATION SPECIALISTS OF NE FLORIDA
4941 MARINERS POINT DRIVE
JACKSONVILLE FL32225
904- 716 -1407
AOL
R escribed'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
Y
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
-%9
69 65 696 A6 a-)
Total ,5 C6
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.
N
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
�G 0 96 9 3 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund