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208484 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00352550 Page 1 of 1 ONE CIVIC SQUARE T -METAL WORKS, INC. CARMEL, INDIANA 46032 1813 E 109TH STREET CHECK AMOUNT: $152.00 INDIANAPOLIS IN 46280 CHECK NUMBER: 208484 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 T12 -4595 152.00 BUILDING REPAIRS MA T MetalWorks, Inc. Architectural/Metals Specialties 1813 E. 109 Street Indianapolis, IN 46280 317- 848 -2936 Fax 317 848 -6133 Invoice To: City of Carmel Fire Department Job Name: Pan 2 Civic Square Location: #41 Carmel, IN 46032 Your P.O. Verbal /Jason Tenns: Net 30 Days Invoice No. T12 -4595 Date: 4/17/12 (1) Pan: 23" x 23 5/8" x 2 '/2" w /insets Material: 18 Ga. 304 2B SS Total Material: 152.00 Tax Exempt 00.00 Total Invoice: 152.00 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 Num (or note attached invoice(s) or bill(s)) T12-4595 $152.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 T -Metal Works, Inc. IN SUM OF 1813 E. 109th Street Indianapolis, IN 46280 $152.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 T12 -4595 I 43- 510.00 I $152.00 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 APR 2 3 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund