HomeMy WebLinkAbout207005 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 366068 Page 1 of 1
r 0 ONE CIVIC SQUARE CLARK APPLIANCE CHECK AMOUNT: $1,879.00
�o CARMEL, INDIANA 46032 5415 E 82ND STREET
INDIANAPOLIS IN 46250 CHECK NUMBER: 207005
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463300 24329 1000323535 1,879.00
INVOICE
Delivery Date 02/20/2012
Invoice 1000323535
8767 Boehnin g Lane Delivery (317) 898 -0135 Sales Order 135106
A p P A H C Indianapolis, IN 46219 1 Service (3 17) 890 -9202
Fax (3 17) 895 -3161
Customer C�IRMFIRE
Customer PO ob�oCne-
Salesperson
M u rrmann, Margaret
BILL TO: Cell (3 17) 371 -3140 SOLD TO:
Carmel Fire Department
3610 W 10 bth St Carmel Fire Dept.
Carmel, IN 46032 3610 W. 106th St
Carmel, IN 46032
Phone (3 17) 371 -3140
Model De`scriptiori l Serial# Brand. Qty, Unit %P .rice C t P �j Tax
U B12115S 01 U Line 1 $1,879.00 $1,879.00 $0.00
.Stainless IS "undercounter ice make[.,daily ice_rate of up to 251 b of ice, stores up to_2 of ice,
no drain required, manual defrost, hinged left
Serial 1220668010014
Remit To: —W St bTotal $1,879.00
Clark's Sales &Service, Inc. Sales Tax $0.00
Total $1,879.00
R0. Box 44719
Madison, WI 53744 -4719 Payments
lnvoice Due !,'.$I 879 00
Terns 'NET =30.
VOUCHER NO. WARRAN NO.
ALLOWED 20
Clark Appliance
IN SUM OF
5415 E. 82nd Street
Indianapolis, IN 46250
$1,8
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
24329 I 1000323535 102- 633.00 $1,879.00 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
MAR 12 2U
Fire Chief
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))
1000323535 $1,879.00
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
2Q
Clerk- Treasurer