HomeMy WebLinkAbout211239 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 364472 Page 1 of 1
0 ONE CIVIC SQUARE CARL BREHOB&SON CHECK AMOUNT: $93.40
=a CARMEL, INDIANA 46032 3821 BREHOB ROAD
INDIANAPOLIS IN 46217-3300 CHECK NUMBER: 211239
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 93 . 40 REPAIR PARTS
CARL, -BREHOB & .S®N
3821. BREHOB ROAD
INDIANAPOLIS, INDIANA 46217-3300
Phone (317) 784-1442
Fax (317) 787-2054
Customer's
Order No. Date / 20
Address
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE.RETO PAID OUT
QUANTITY DESCRIPTION PRICE AMOUNT
e �
0
1 _ t I<3 5�6
All claims and ret ed ods Ml� be ac ni by this bill.
Received by C
TERMS:NET 10 DAYS A Vz%PER MONTH SERVICE HARG WILL BE
CHARGED ON ALL PAST DUE ACCOUNTS.
THIS IS AN 18%ANNUAL RATE OF INTEREST.
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))
06/12/12 $93.40
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.
ALLOWED 20
Carl Brehob & Son
IN SUM OF $
3821 Brehob Road
Indianapolis, IN 46217-3300
$93.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-370.001 $93.40 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
'
` Thtarsday,�july 26, 2012
Street,Commissioner
ICM C i i it i i5 101,&
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund