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207020 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 072925 Page 1 of 1 ONE CIVIC SQUARE DAVIS TOOL MACHINE, INC a CARMEL, INDIANA 46032 19224 EAGLETOWN ROAD CHECK AMOUNT: $200.00 WESTFIELD IN 46074 CHECK NUMBER: 207020 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 24761 200.00 AUTO REPAIR MAINTEN Davis Tool Machine, Inc. INVOICE 19224 Eagletown Road Westfield, IN 46074 Invoice Number: 24761 Invoice Date: Mar 2, 2012 Page: 1 Voice: 317- 896 -9278 Fax: 317 -896 -2181 B�It u M wa Shtpt� :5..- Carmel Street Department Carmel Street Department 3400W. 131st. Street 3400W. 131st. Street Carmel, I N 46074 Carmel, IN 46074 a k Pa [llelttT£rrTlS C,UStOri}er�asa Customer PC!x S� ,.e y a 22 22EM 'E h carets Net 30 Days a_e ':.gib u �,ShippingMethoi fi Ship ©ate a Due Rate° Customer Pick -Up 312112 I 411112 1 Repair Street Sweeper Shaft 200.00 200.00 Subtotal 200.00 Fre ig ht Total Invoice Amount 200.00 ChecklCredit Memo No: Payment/Credit Applied THANK YOU VOUCHER NO. WARRANT NO. Davis Tool Machine, Inc. ALLOWED 20 IN SUM OF 19224 Eagletown Road Westfield, IN 46074 $200.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO #I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 24761 43- 510.00 $200.00 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 r �Thursday /March 08, 2012 Street Commissioner Stres- 'Tit rPrnmiss ions r 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)) 03/02/12 24761 $200.00 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