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178766 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 184000 Page 1 of 1 ONE CIVIC SQUARE LEE SUPPLY CORP CARMEL CARMEL, INDIANA 46032 PO BOX 681430 CHECK AMOUNT: $16.24 o� INDIANAPOLIS IN 46268- CHECK NUMBER: 178766 CHECK DATE: 10128/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 4809648 16.24 REPAIR PARTS R LEE SUPPLY CORP. Wholesale Distributors 6610 GUION ROAD P INVOICE J P.O. BOX 681430 �.U�SC3INC FfE�TING VUFLLSUPPUPS INDIANAPOLIS, IN 46268 BUILDER PPOpUCTS FID 35 1310996 MAiNTENAN,aE PARTS AND SUPPLIES o o 4.8 0 9 fi:4:8 [INDI ANAPOLIS,'IN rmel Carmel �P :�#80.96,i`�8 E SUPPLY'CORP Lee'°.Supply C 2007O BOX 6 814 3 415 W Carmel' Drive Carmel, IN 46032 4G268-7430 Tele ho>ae: -3_7 7 84444 I CARMEL FIRE p' Customer Pickup 2 CIVIC SQUARE' CARMEL, IN 46032 m om. �C-0 G' o CNS9 N p RIM9” C o 0 STATION 44 STATION. 44 HSE 11/10/09 10/:03/09 Pickup owl C892202KD_ 892 -202KD VACUUM REPAIR KIT EA 1 16.2400 16:24 Paymeni o Due On If Paid. try You Owe 48Q964.8. 16.24 11./10/09 1`1/10/09 16.24 ..2 -URN'! COMMERCIAL WATER HEATER NW THOUTPR O•RE`ARAEPTE AMOfJfVT 16:24' HOTLINE 1 T IO, UTH RI2ATION O0 1 ,600.873 .1101 5 FILED WITH'CARRIERAG AMT O.0 E rriu`sr sE TRX 1 charge equivalent to 2 %other o o A service char per month (24% per annum) will be added to past due invoices. DUE 16.24 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)) 4809648 $16.24 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 N ALLOWED 20 Lee Supply IN SUM OF P.O. Box 681430 Indianapolis, IN 46268 $16.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 4809648 42- 370.00 $16.24 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 OCT 2 6 2009 Fire Chie Title Cost distribution ledger classification if claim paid motor vehicle highway fund