HomeMy WebLinkAbout212142 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00352276 Page 1 of 1
ONE CIVIC SQUARE BREAKERS UNLIMITED
CARMEL, INDIANA 46032 15241 STONY CREEK WAY CHECK AMOUNT: $832.60
NOBLESVILLE IN 46060
CHECK NUMBER: 212142
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 110767601 832 . 60 OTHER EXPENSES
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BREAKERS 15241 Stony Creek Way
Ewa Noblesville, IN 46060
UNLIMITED Office 317776.8817
Fax 317( 773.9867
One Call. In Stock. Right Now. breakersunlimited.com
CUSTOMER CODE SHIP/TR/ INVOICE NUMBER
CAR-700 1107676-01
317 571 2634 - -
O BILL CARMEL WASTEWATER UTILITIES SHIP CARMEL WWTP (D 0 TO: TO:
O 760 THIRD AVE SW SUITE 110 9609 HAZEL DELL PRKWY
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*** THIS IS YOUR INVOICE *** SUBTOTAL 832. 60 O Q O
MISC.CHARGE Q
FREIGHT IN FREIGHT OUT TELE.CHARGE 0°
0. 0 0 0. 00 FREIGHT TOTAL Q,
FED./OTHER TAX
NET TERMS: INV 30 DUE: 09/07/12 STATETAX
*** ORDER COMPLETED *** PAYMENT RECD. 0.00
_ Please Remit Payment To: Breakers Unlimited TOTAL AMT DUE
15241 Stony Creek Way 832 . 60
Noblesville, IN 46060
VOUCHER # 125515 WARRANT # ALLOWED
352276 IN SUM OF $
BREAKERS UNLIMITED
15241 Stony Creek Way
Noblesville, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1107676-01 01-7202-06 $832.60
Voucher Total $832.60
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352276
BREAKERS UNLIMITED Purchase Order No.
15241 Stony Creek Way Terms
Noblesville, IN 46060 Due Date 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 1107676-01 $832.60
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
Date Officer