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208764 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366231 Page 1 of 1 ONE CIVIC SQUARE KING'S SERVICES, INC CARMEL, INDIANA 46032 8847 N 800E CHECK AMOUNT: $1,080.00 SHERIDAN IN 46069 CHECK NUMBER: 208764 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 9292 780.00 AUTO REPAIR MAINTEN 1120 4351000 9294 300.00 AUTO REPAIR MAINTEN 4 e King's Services, Inc. O dba Kings Mobile Wash y 8847 N 800 E i I Sheridan, IN 46069 9 E 317.590.2689 mobile O NO: J SHIP TO TO P6114f TERMS i 7 p THANK YOU a King's Services, Inc. 119M U 41 LIEN dba King's Mobile Wash 8847 N 800 E r Sheridan, IN 46069 9 29 4 317.590.2689 mobile D E ORDER NO. SHIP TO TO -x -,w 43 SALESPERSON DATE SHIPPED* SHIPPED VIA F.O.B. POINT ,'DESCRIPTION s s THANK YOU 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)) 9292 E45, E46, E49 $780.00 9294 E43 $300.00 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 King's Services, Inc. IN SUM OF 8847 N 800 E Sheridan, IN 46069 $1,080.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 9292 43- 510.00 $780.00 1 hereby certify that the attached invoice(s), or 1120 9294 43- 510.00 $300.00 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 MAY 7 2 012 \J Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund