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208762 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00352542 Page 1 of 1 ONE CIVIC SQUARE KENNEY OUTDOOR SOLUTIONS CARMEL, INDIANA 46032 8420 ZIONSVILLE ROAD CHECK AMOUNT: $97.68 INDIANAPOLIS IN 46268 CHECK NUMBER: 208762 CHECK DATE: 5110/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 624354 -00 97.68 EQUIPMENT REPAIRS M 8 420 Zionsvilie Road s e -Co Indianapolis, IN 46268 9 NI V D 1 OUTDOOR SOLUTIONS (317) 872 -4793 Fax (317) 879 -2331 UPC V: INVOICE DATE INVOICE :NO. 0000 04 127112 624354 -00 rSALES REP..: P.O. NO. PAGE CUST. 170 2080 russell 1 SHIP TD: CITY OF CARMEL BROOKSHIRE 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033 -3314 REMIT TO: KENNEY OUTDOOR SOLUTIONS 8420 Zionsville Road INDIANAPOLIS, IN 46268 RILL TO: CITY OF CARMEL BROOKSHIRE 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033 -3314 :INSTRUCTIONS WAREHOUSE NO' SHIP POINT ii SHIP VIA SNIFFED 'TERMS Ken Machinery Cor UPS Ground 1 04/27/121 Net 30 Days LINE PRODUCT QUANTITY QUANTITY QTY QTY UNIT NET TOTAL. .:iNO AND DESCRIPTION ORDERED.!> 8.0..... J... :SHIPPED U /M. PRICE 1 115 9128 1 0 1 EA 89.80 89.80; TUBE HYD DIRECT.ORDER 2 237 22 1 0 1 EA 1.66250 1:66 0-RING DIRECT ORDER 2 Lines Total Qty Shipped Total`.. 2 Total 91:46 Frei giitParts 6.22 invoice Total 9- Date S snit. Account a3 Account Account Account Last Page ORIGINAL Cash Discount 0.00 Tf Paid By 04/27/12 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)) 04/27/12 624354 -00 Repair Parts $97.68 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 Kenny Outdoor Solutions Accounts Receivable IN SUM OF 8420 Zionsville Road Indianapolis, IN 46268 $97.68 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 I 624354 00 I 43 500.00 I $97.68 I 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 Wednesday, May 02, 2012 n7 Director, Brooksh re Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund