HomeMy WebLinkAbout213161 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 357344 Page 1 of 1
ONE CIVIC SQUARE ROYALTY COMPANIES CHECK AMOUNT: $405.00
f Sj� CARMEL, INDIANA 46032 1000 D AVENUE
SEYMOUR IN 47274 CHECK NUMBER: 213161
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7267 405 . 00 OTHER EXPENSES
® A NILPATA INVOICE
Invoice Number: 7267
Invoice Date: 9/5/12
Royalty Companies of Indiana, Inc. Page: 1
1000 D Avenue
Seymour, IN 47274
Voice: 812-523-8392
Fax: 812-523-7553
Bill To
City of Carmel
9609 Hazel Dell Pkwy
Indianapolis, IN 46280
Customer ID: City of Carmel _
Customer PO Payment Terms Sales Rep ID Due Date
WWTP(W06495) C.O.D. Couch Darrell 9/5/12
Description Amount
Made repairs to fascia metal on 8/29/12. 405.00
Subtotal 405.00
We will gladly accept Mastercard or Visa Sales Tax
for a 3%fee added to the invoice amount. Total Invoice Amount 405.00
Payment/Credit Applied
TOTAL 405.00
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357344
ROYALTY COMPANIES Purchase Order No.
1000 D AVENUE Terms
SEYMOUR, IN 47274 Due Date 9/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2012 7267 $405.00
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
Date Officer
VOUCHER # 125733 WARRANT # ALLOWED
357344 IN SUM OF $
ROYALTY COMPANIES
1000 D AVENUE
SEYMOUR, IN 47274
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7267 01-7362-06 $405.00
Voucher Total $405.00
Cost distribution ledger classification if
claim paid under vehicle highway fund