HomeMy WebLinkAbout210451 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 354602 Page 1 of 1
ONE CIVIC SQUARE MARK IV ENVIRNMENTAL SYSTEMS INC CHECK AMOUNT: $365.00
CARMEL, INDIANA 46032 1012 N BLUFF ROAD
SUITE A CHECK NUMBER: 210451
GREENWOOD IN 46142
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 062712ACS1 365.00 REPAIR PARTS
Mark IV Environmental Systems, Inc. Invoice
1012 N. Bluff Road, Suite A
DATE INVOICE NO.
Greenwood, IN 46142
(317) 889 -3744 6/28/12 062712ACSI
Fax(317)882 -8022
BILL TO SHIP TO
Carmel Street Department
3400 W 131 st St
Carmel IN 46074
P.O. NO. TERMS DUE DATE REP SHIP DATE
Net 15 7/13/12 6/28/12
SERVICED ITEM DESCRIPTION QTY RATE AMOUNT
6/27/12 St. John Technical Service Time 3.5 70.00 245.00
Truck Chg Truck Charge 1 20.00 20.00
Fuel Charge Temporary Fuel Surcharge 1 20.00 20.00
Ice Mach Filt CFS91 12 -S Ice Machine Filter 1 75.00 75.00
Parts 45 PVC 3/4" Total Materials 2 0.50 1.00
Parts 90 PVC 3/4" Total Materials 2 0.50 1.00
Parts 2 ft 3/4" PVC Total Materials 1 3.00 3.00
changed water filter and corrected drain for ice
bin
Overdue accounts will be charged 1.5% per month finance charge and will pay cost, including
attorney fees, for the enforcement of the terms and conditions of this agreement. Invoices left
undisputed after 7 days are non negotiable. RETURNED MERCHANDISE SUBJECT TO A Total
RESTOCKING CHARGE. Special ordered items may not be returned without prior approval. $365.00
FREIGHT CHARGES ARE NON REFUNDABLE.
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))
06/28/12 062712ACS1 $365.00
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 N W ARRANT NO.
ALLOWED 20
Mark IV Environmental Systems, Inc.
IN SUM OF
1012 N. Bluff Road, Suite A
Greenwood, IN 46142
$365.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 I 062712ACS1 I 42- 370.001 $365.00 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
f� Thursday, June 28, 2012
StXeet Commissioner
�ireet uornm .:ss oner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund