HomeMy WebLinkAbout209482 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 355748 Page 1 of 1
s� ONE CIVIC SQUARE ASSOCIATED CONTROLS DESIGN
CARMEL, INDIANA 46032 DIVISION OF C.M. BUCK ASSOCIATES CHECK AMOUNT: $160.00
6850 GUION ROAD CHECK NUMBER: 209482
INDIANAPOLIS IN 46268
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ACD1091 160.00 REPAIR PARTS
Associated Controls Design Invoice
Division of C. M. Buck Associates, Inc.
6850 Guion Road DATE INVOICE
Indianapolis, IN 46268 5/29/2012 ACD1091
317 -298 -3961
BILL TO SHIP TO
City of Carmel City of Carmel
Carmel Street Department 3400 West 131 st Street
Attn: Accounts Payable Westfield, IN 46074
3400 W. 131 st Street
Westfield, IN 46074
P.O. NUMBER TERMS REP SHIP VIA F.O.B. PROJECT
James Bentley Net 30 Days 5/3/2012 "ACD"
QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT
1 ACDDriveTime ACD DRIVE TIME 80.00 80.00
1 ACDLaborSvc ACD LABOR 80.00 80.00
SEE ENCLOSED FIELD SERVICE REPORT
Total $160.00
i
VOUCHER NO. WARRA N
ALLOWED 20
Associated Controls Design
Division of C.M. Buck Associates IN SUM OF
6850 Guion Road
Indianapolis, IN 46268
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 ACD1091 1 42- 370.001 $160.00 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
�Frid une 01, 2012
Street Commi si ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/29/12 ACD1091 $160.00
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