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211824 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366469 Page 1 of 1 ONE CIVIC SQUARE JNA MECHANICAL CARMEL, INDIANA 46032 421 WEST MAIN ST CHECK AMOUNT: $1,845.00 GREENWOOD IN 46142 CHECK NUMBER: 211824 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350100 1849 1, 845 . 00 BUILDING REPAIRS & MA 50 a-1j)l JNA MECHANICAL /Z0 '5 Invoice 421 West Main St Greenwood IN 46142 317-640-8104 Bill To: Wok Location City of Carmel City Hall One Civic Square Mayors Restroom Carmel, IN 46032 Mop Sink Faucets Womens 2nd Floor Restroom Date Invoice No. Terms 07/31/12 1849 Net 30 Item Description Amount Service (1) Provide labor&material to install new white Kohler Cimarron comfort height elongated 1,845.00 bowl toilet in mayors restroom (2) Provide labor&material to repair vacuum breakers on 2 mop sink faucets and leave 2 additional repair kits on site (3) Provide labor&material to repair leaking wall mount toilet in womens restroom 2nd floor D , AUG 13 2012 By Thank You! Total $1,845.00 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)) 07/31/12 1849 $1,845.00 I 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 JNA Mechanical IN SUM OF $ 421 West Main St Greenwood, IN 46142 $1,845.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 1849 43-501.00 $1,845.00 I 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 Monday, August 13, 2012 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund