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207428 03/26/2012 a CITY OF CARMEL, INDIANA VENDOR: 072925 Page 1 of 1 *1 10� ONE CIVIC SQUARE DAVIS TOOL MACHINE, INC CHECK AMOUNT: $145.00 +o CARMEL, INDIANA 46032 19224 EAGLETOWN ROAD WESTFIELD IN 46074 CHECK NUMBER: 207428 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 24788 145.00 REPAIR PARTS Davis Tool Machine, Inc. INVOICE 19224 Eagletown Road Westfield, IN 46074 Invoice Number: 24788 I nvoice Date: Mar 9, 2012 Page: 1 Voice: 317-896-9278 Fax: 317-896-2181 `Bill T o Carmel Street Department Carmel Street Department 3400W. 131st. Street 3400W. 131st. Street Carmel, IN 46074 Carmel, IN 46074 C ustomer stornerllD,,. carms Net 30 Days Sales'Rep ID;' 7C11 -7 Shp de,Ditb _I jt:h:jc:� �7 Customer Pick-Up 3/9/12 4/8/12 ;Amoun Quantity ni Price, It, l[l6s'cA oh U P t 1 Repair Pump Shaft 145.00 145.00 7 Subtotal 145.00 Freight Total Invoice Amount I 145.00 Check/Credit Memo No: Payment/Cre Applied 145'00 T OTAL' THANK YOU VOUCHER NO. WARRANT NO. ALLOWED 20 Davis Tool Machine, Inc. IN SUM OF 19224 Eagletown Road Westfield, IN 46074 $145.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department RO Dept. INVOICE NO. j ACCT# /TITLE AMOUNT Board Members 2201 I 24788 I 42- 370.001 $145.00 1 hereby certify that the attached involce(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 Thursday, March 22, 2012 Street Comm S P er TEIe street Corn �sioner 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)) 03/09/12 24788 $145.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer