HomeMy WebLinkAbout208002 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
0 ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF C OCK AMOUNT: $43.97
CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 208002
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 43.97 EQUIPMENT REPAIRS M
622 A SOUTH RANGELINE ROAD
CARMEL IN 46032
PHONE Wi 844 -5501
Merchant ID: 26728923 Vacuum Center
Sale rice AFTER the sale!
XKXXXXXXl(YXX5340 South Range Line Road
VISA Entry Method SwiPed 1RMEL, INDIANA 46032
(317) 844 -5501
Total: 43,91 E DATE
0323/12 10,50,31 d a
Invo, 000004 APPr Code; 095031
APPrvd; Online Batcha; 000584
Customer COPY
THANK YOU!
PLEASE COME AGAIN!
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C
I
TAX
RECEIVED By DATE
I
TOTAL
All warranty claims must be ac-
30794 companied by this bill. All sales final.
NEOS CUSTCaP64'"'Printing uervke ]O FP
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total J
r
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.
ALLOWED 20
IN SUM OF
�7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/1?0? 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
40 20
0
Signa e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund