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172419 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362860 Page 1 of 1 ONE CIVIC SQUARE LIBERTY FLAT SPECIALTY CO. CHECK AMOUNT: $148.15 CARMEL, INDIANA 46032 PO BOX 398 REEDSBURG VJI 53959 -0398 CHECK NUMBER: 172419 :o CHECK DATE: &1312009 '!DEP ARTMENT ACCOUNT PO NUMBER I NVOIC E NUMBER AMOUN DESCRIPTION t_ 1205 4239099 04090565 148.15 OTHER MISCELLANOUS c HIERTY WORLD CLASS F LAG s berty Flag 8 WORLD C L 04090565 INVOICE NUMBER Specialty Company CHRISTMAS DISPLAYS PO Box 398 Reedsburg, WI 53959 -0398 1- 800 274 -7001 608 524 -2834 Fax 608 524 -8238 SOLD TO SHIP TO City Of Carmel Jeff Barnes Jeff Barnes City Of Carmel 1 Civic Square 1 Civic Square Carmel, IN 46032-7569 Carmel, IN 45032-7569 CUSTOMER NO. SOURCE CODE SALESPERSON PHONE NUMBER INVOICE DATE DATE TO SHIP DATE SHIPPED 426256 FL9601i dm 1- 317 571• 2400 4/21/09 4121/0' 4/22/09 P.O. NUMBER TERMS ZONE SHIPPING METHOD verb /Jeff PAYMENT DUE 3 Fed t,,; QUANTI ITEM NO. DESCRIPTION PRICE AMOUNT ORDERED SHIPPED D B.O. 1 1 FA016 Liberty Stand for 3 flag 41.` 5 41.` 5 1 1 FA012 Conical Spear 8" Golden 45.00 45.00 1 i FA 0'2 8 Oak. Flag Pole 48. 48.25 Items Total 135.20 shipping r, Handling 12.95 TOTAL 148.15 Received 0.00 BALANCE DUE 148.15 thank you 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 Liberty Flat Specialty Company Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04121109 04090565 bbei ty sta, id fo, 3'x5' flag, flag pule 5 148.15 Total $148.15 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 VOUCHER 1\10.0 RRANT NO. ity Flat Specialty Company ALLOWED 20 B ox 398 IN SUM OF Reedsburry VVI 53 95 9- 03 98 $148.15 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 1205 Administration Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or DEPT. y ce y bill(s) is (are) true and correct and that the 4090565 390 -99 $148.15 materials or services itemized thereon for which charge is made were ordered and received except 20 n Ti" Cost distribution ledger classification if claim paid motor vehicle highway fund