HomeMy WebLinkAbout208778 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 356915 Page 1 of 1
ONE CIVIC SQUARE L T RICH PRODUCTS INC CHECK AMOUNT: $39.94
CARMEL, INDIANA 46032 920 HENDRICKS DR
LEBANON IN 46052 CHECK NUMBER: 208778
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 28560 39.94 REPAIR PARTS
LT Rich Products, Inc. A T;
z OF L 920 Hendricks Drive .oD' I>N;c�
I NVOICE
4/18/2012 28560
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 WEST 131ST ST. 3400 WEST 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
USA USA
o Date Via
DAN SMITH Net 30 5/18/2012 4/18/2012 U.S. FedEx Grou
o Rate Amount.
60032 GAUGE 60 PSI 1 17.63 17.63T
70008 SMALL HOPPER COVER 1 22.31 22.31T
EXEMPT Sales Tax 0.00% 0.00
Total $39.94
Payments /Credits $0.00
765 482 -2040 765 482 -2050 lauriekiefer @hotmail.com Balance Due $39.94
0
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))
04/18/12 28560 $39.94
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
LT Rich Products Inc
IN SUM OF
920 Hendricks Drive
Lebanon, IN 46052
$39.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1 28560 1 42- 370.001 $39.94 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
Wed
�esday� May 02, 2012
Street Commissir er
greet COnr tl�ssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund