HomeMy WebLinkAbout212339 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE
' CARMEL, INDIANA 46032 547 E 161ST ST CHECK AMOUNT: $115.00
WESTFIELD IN 46074
CHECK NUMBER: 212339
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1512 115 . 00 REPAIR PARTS
PICKETT'S PLACE 0 VO 0 C
547E. 161ST Invoice Number:
WESMELD, IN 46074 1512
Voice: 317-896-3271 Invoice Date:
Sold To: Fax: 317-896-2036 Aug 21, 2012
Page
1
Camel Street Department
3400 West 131st street
WESMELD, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL MIKE IN Cust. Pickup Net 30th of Next 9/30/12
unnth
Quantity Item Description Unit Price Amount
LIFT MOUNT FOR TRUCK MADE SOLID STEEL 115.00
Subtotal 115.00
Sales Tax
Total Invoice Amount 115.00
Check/Credit Memo No:
Payment/Credit Applied
TOTAL 115.00
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))
08/21/12 1512 $115.00
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
Pickett's Place
IN SUM OF $
547 E. 161 st St.
Westfield, IN 46074
$115.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1512 I 42-370.001 $115.00 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
Thursday, August 23, 2012
C
Street Co Is i r�er
e
Street Cerr,Phsioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund