HomeMy WebLinkAbout210498 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
CARMEL, INDIANA 46032 547 E 161ST ST CHECK AMOUNT: $90.00
WESTFIELD IN 46074 CHECK NUMBER: 210498
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1464 90.00 REPAIR PARTS
P®CKE T'S PLACE
547E 961ST Invoice Number:
WESTF /EL®, IN 46074 1464
Voice: 317 896 -3271
Invoice Date:
Sold To: Fax: 317 896 -2036 Jun 11, 2012
Page
1
Came/ Street ®epartmeort
3400 West 13fst street
WESTF /EL®, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL MIKE IN Cust. Pickup Net 30th of Next 7/30/12
SHr-)P Mnnth
Quantity Item Description Unit Price Amount
3.00 OIL DRAIN PLUG ADAPTOR (12mm X1.5) 30.00 90.00
Subtotal 90.00
Sales Tax
Total Invoice Amount 90.00
Check /Credit Memo No: Payment /Credit Applied
TOTAL 90.00
VOUCHER NO. WARRANT NO.
Pickett's Place ALLOWED 20
IN SUM OF
547 E. 161 st St.
Westfield, IN 46074
$90.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 I 1464 I 42- 370.001 $90.00 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
Tjhursda "y` „June 28, 201
uavc�l r-1111-fll�
Street Commissioner
vu� et .in. �ioa ivic
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))
07/11/12 1464 $90.00
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