HomeMy WebLinkAbout212162 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366068 Page 1 of 1
ONE CIVIC SQUARE CLARK APPLIANCE CHECK AMOUNT: $1,879.00
`f CARMEL, INDIANA 46032 5415 E 82ND STREET
INDIANAPOLIS IN 46250
<,o CHECK NUMBER: 212162
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463300 1000337833 1, 879 . 00 APPLIANCES
INVOICE
Delivery Date 08/13/2012
Invoice# 1000337833
8767 Boehning Lane 1 i Delivery (3 17)898-0135 Sales Order# 140940
Indianapolis,IN 46219 Service (317)890-9202 Customer# CARMFIRE
Fax (317)895-3161
Customer PO Attn.Denise
Salesperson
Wampler,Tyler
BILL TO: Cell (317)371-3140 SOLD TO:
City Of Carmel Fire Department i ti
2 Civic Square j Carmel Fire Department No.46
Carmel,IN 46032 j ! 540 W. 136th St.
Carmel,IN 46032
E Cell (317)590-3426
1Vlode(1 Descr►pt►oi'!Serial# Brand Qty Unit Pace Ext Pace Tax
U-B12115S-01 U Line 1 $1,879.00 $1,879.00 $0.00
Stainless 15"undercounter ice maker,daily ice rate of up to 25lbs of ice,stores up to 25lbs of ice,
no drain required,manual defrost,hinged left
Serial#: 1221008020004
Remit To: SnbToal $1 89 00
Clark's Sales&Service, Inc.
Sales Tax
P.O.Box 44719 Total $I
Madison, WI 53744-4719 Payments $O OO A
Invoice�Due -$1879.00`
Terms NET 30`
,rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
1000337833 Sta. 46 $1,879.00
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
Clark Appliance
IN SUM OF $
5415 E. 82nd Street
Indianapolis, IN 46250
$1,879.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1000337833 1 102-633.00 I $1,879.00 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
QUG 2 2 2912
-fFire'CFiief°y`�„r '
v
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund