HomeMy WebLinkAbout210942 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366392 Page 1 of 1
;. ONE CIVIC SQUARE MAC'S SEPTIC LLC
CARMEL, INDIANA 46032 5829 W 10TH ST CHECK AMOUNT: $495.00
o� INDIANAPOLIS IN 46224 CHECK NUMBER: 210942
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 14074 495 . 00 GROUNDS MAINTENANCE
INVOICE RE C 11-:7�17VED
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BY: 39 7-247-a 9"74,F.<X 7-2-4-60"�
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SHIPPED TO v
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OUR ORDER NO. YOUR ORDER NO. SALESMAN TERMS SHIPPED VIA PPD. OR COLL.'
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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.
Mac's Septic LLC Terms
5829 W. 10th Street
Indianapolis, IN 46224
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/26/12 14074 Septic pumping MO & MH 31020 $ 495.00
Total $ 495.00
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.
Mac's Septic LLC Allowed 20
5829 W. 10th Street
Indianapolis, IN 46224
In Sum of$
$ 495.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 14074 4350400 $ 495.00 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
12-Jul 2012
Signature
$ 495.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund