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180258 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350944 Page 1 of 1 ONE CIVIC SQUARE SCOTT POOLS, INC CARMEL, INDIANA 46032 904 W MAIN ST CHECK AMOUNT: $6.53 CARMEL IN 46032 o CHECK NUMBER: 180258 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DES 2201 4238900 91484 6.53 OTHER MAINT SUPPLIES Invoice (SPI) Scott Pools, Inc. 904 W. Main Street Invoice Number: 91484 Carmel, IN 46032 Invoice Date: 11/30/09 US Phone: (317) 846 -557 Page: 1 Sold To: Ship To: CITY OF CARMEL STREET DEPT. 3400 W. 131 ST STREET WESTFIELD, IN 46074 C Customer PO Payment Ter Job Name Due Date Net 30 Days 12/30/09 Description Amount STORE SALES 6.53 Thank you! Subtotal 6.53 Sales Tax TOTAL 6.53 Past due invoices are subject to late charges. 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)) 11/30/09 91484 $6.53 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 V OUCHER NO. W NO. ALLOWED 20 Scott Pools IN SUM OF 904 W. Main Street Carmel, IN 46032 $6.53 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member 2201 91484 42- 389.00 $6.53 1 herah certify that tke atta ed iiivcke(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except f /7 /1 Friday, December -0 2009 a U XI, r s G' d� (-W 'Ity "�T// S tr,$c bCgrrtrnissigner Title Cost distribution ledger classification if claim paid motor vehicle highway fund