HomeMy WebLinkAbout211353 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366427 Page 1 of 1
' ONE CIVIC SQUARE KEYSTONE ENGINEERING
o CARMEL, INDIANA 46032 9786 EAST COUNTY ROAD 200 NORTH CHECK AMOUNT: $900.00
"y on`o• AVON IN 46123 CHECK NUMBER: 211353
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4353099 21293 900 . 00 OTHER RENTAL & LEASES
Keystone Engineering & HH'W UCE
9786 East County Road 200 Invoice Number: 21293
North Invoice Date: Jul 13, 2012
Avon, IN 46123
317-271-6192
Bill To; Ship to; .
CITY OF CARMEL STREET DEPARTMENT
CITY OF CARMEL STREET DEPARTMENT 3400 WEST 131 ST STREET
340OWE ST 131ST STREET CARMEL, IN 46074
CARMEL, IN 46074
Sales,�Orger,:Numb6r `�Cus tome rPO• Payment Terms
Net 30 Days
Sales Rep ID Shipping=Method;,' 6 Ship DaterDue Date
Cust. Pickup 7/12/12 8/12/12
Quantity Item � `' Description � Unit Price Amount
1.00 DAY FLATLINER RENTAL 900.00 900.00
GRINDING CHARGE- NO CHARGE
Subtotal 900.00
Sales Tax
F re ig ht _
Total Invoice Amount 900.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 900.00
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))
07/12/13 21293 $900.00
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.
ALLOWED 20
Keystone Engineering
IN SUM OF $
9786 East County Road 200 North
Avon, IN 46123
$900.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 21293 I 43-530.991 $900.00 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
/�
h ur �y`July26;'^2012
o,s v v
StStretet'Comm`issionrer
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund