HomeMy WebLinkAbout209848 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 362955 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS
CARMEL, INDIANA 46032 PO BOX 19635 CHECK AMOUNT: $128.62
INDIANAPOLIS IN 46219
CHECK NUMBER: 209848
CHECK DATE: 6/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 138082 128.62 EQUIPMENT REPAIRS M
TT�r T
�g V �iA.J
MAY 8 x ZNZ
1
[BY CE NUMBER 138082
P.O. Box 19635 INVOICE DAT 05/30/12
Indianapolis, Indiana 46219
PAGE 1
SOLD TO CARMEL CUY PARKS REC. dba P((DATtHiT CTR SHIP TO MOMM CEN!ER
114 E. 116TH STREET 1235 CELL PARK DRIVE EAST
CARMEL, IR 46032 CARMEL, IN 46032
(317) 848 -7275
CUSTOMER I.D.: 113022
SHIP VIA: SER9ICE P.O. NUMBER: MICHELIN
SHIP DATE: 05/20/12 P.O. DATE:
DUE DATE: OUR ORDER NO:
TERMS: Met 15 SALESMAN: Dave Beck
PRODUCT I.D. DESCRIPTION ORDERED SHIPPED UlM UNIT PRICE AMOUNT TX
7071150537 CORDSET MIX LEVEL 1 1 43 -24 43.24
7071160610 0 RING 8 8 0 -36 2 -88
TRIP CHARGE 45-00
1000-1030 0 -500 0.500 75 -00 37.50
88T -Rim D2L- -1467
Irvo subtotal 128.62
Invoice total 128.62
SIGNATURE:
i AGREE THAT EVER ING LISTED ON INVOICE IS ACCOUNTED MR 8 UNDAM GE UNLESS NOTED.
Purchase
Description.
P.O. lil 'orF
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Bu
Line Descr 2,4
Purchaser Date
Approval Date
WHITE COPY SOUTHERN FOOD SYSTEMS YELLOW COPY CUSTOMER
it
1 Account Phone 24 7 t46 5' M Date: S' 29 IZ
Account (Name &Location) V'zeAoN
P.O. Box 19635 1 Z 3 S CE -1>Act_v_ bk,
Indianapolis, IN 46219 CAR Mt y6�32
Phone: 317 322 -5800 Bill to: A gO v E
Toll Free: 800 776 -5100
REASON FOR CALL: CAoc., N A b Nor c #.&t Contacted By: MIC�ELt_E C f_LL'* 9!3:2 =(6
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WORK PERFORMED: _RE (-4ceb copZ 5 ET
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COMMENTS: Sa GGs e Nar 'r
STM(LGT P aALS OP0 VeW?S ow 7bP
f
Parts Total I Z
gaT` AMT 'NL [b �Od I d' 3 p 7$—,� LaborTotal 3�•Sr�
20% 2.30 W L f Trip Charge S 00
Tax
Tec hnician: M 1 1SE R� Date Z Z e 2 Z Balance Due y
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
362955 Southern Food Systems Terms
P.O. Box 19635
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/30/12 138082 Repair soft serve machine 128.62
Total 128.62
I 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.
362955 Southern Food Systems Allowed 20
P.O. Box 19635
Indianapolis, IN 46219
In Sum of
128.62
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #FFITLE AMOUNT Board Members
Dept
1095 -1 138082 4350000 128.62 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
14 -Jun 2012
P. Aew I vnjyuv
Signature
128.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund