HomeMy WebLinkAbout176444 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 362955 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS
CARMEL, INDIANA 46032 PO BOX 19635 CHECK AMOUNT: $388.60
INDIANAPOLIS IN 46219 CHECK NUMBER: 176444
CHECK DATE: 8/1912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4237000 063009 77.50 REPAIR PARTS
1047 4350000 070109 311.10 EQUIPMENT REPAIRS M
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11 Rep'Air
Account Phone 317- 90 3 9.7 Date:
Account (Name&Location) moNor-s CCr
P.O. Box 19635 !T c E NT P-A
CARmE-L To 3 z- 'T�' V-7
Indianapolis, IN 46219
Phone: 317-322-5800 Bill to: A T5 c. v
Toll Free: 800-776-5100 JUL Z 3 2009 UU
REASON FOR CALL: So1 Z T �AT0- Contacted By: �A HC LLE
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PROBLEM FOUND: 0 P- 1T C. I A AA T f4c) -S 1E SO ;k so
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WORK PERFORMED: SL) P P 0
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Apps Date_
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ERIAL*� Rate
.MAKE MODEL
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SIGNATURE y. Iherebyackno� +ledge�completion?ofthe
ab ee des r b� a rk x Z
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
362955 Southern Food Systems Terms
P.O. Box 19635
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/30/09 6/30/09 Repair soft serve machine 22279 F 77.50
7/1/09 7/1/09 Repair soft serve machine 22279 p 311.10
Total 388.60
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 No. Warrant No.
362955 Southern Food Systems Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of
388.60
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 6/30/09 4237000 77.50 1 hereby certify that the attached invoice(s), or
1047 7/1/09 4350000 311.10 bill(s) is (are) true and correct and that the
j materials or services itemized thereon for
which charge is made were ordered and
received except
13 -Aug 2009
Signature
388.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund