HomeMy WebLinkAbout214991 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366728 Page 1 of 1
Q � ONE CIVIC SQUARE COUNTRY CASUAL CHECK AMOUNT: $296.00
�S r' CARMEL, INDIANA 46032 7601 RICKENBACKER DRIVE
GAITHERSBURG MD 20879-4807 CHECK NUMBER: 214991
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 4609 296 . 00 REPAIR PARTS
Invoice
601 Rickenkicker I)rM?
Invoice Date 11/07/2012
km I)
COUNTRY CASUAL Invoice Number 4609
TEAK (-Al\ll')FN ;,,,(I SITE I-URINIISHINCS �o 11926-, 198 Customer Number AP108765
Bill To ShipTo Invoice Total $296.00
Carmel Clay Parks Department Carmel Clay Parks Department
1411 E 116th St 1427 E 116th St
Carmel, IN 46032-3455 Carmel, IN 46032-3455
Phone: (317) 573-4026
Order Number Document Number P.O. Number Terms Due Date
129438 21440-1 31242 NET 30
QTY
QTY OTY BACK iTEM
UNIT EXT'D
ORDERED SHIPPED ORDERED
NUMBER PRODUCT DESCRIPTION COLOR PRICE PRICE
2 2 SPARES Part 35.00 70.00
3 3 SPARES Part 21.00 63.00
2 2 SPARES Part 55..00 110.00
1 1 SPARES Part 20.00 20.00
PIE T
Purchase �y L441—L NOV 0 9 2012
[)Pscription
p r F
P.O.# ;L! _ 0 g." '-2
G.L.# —4,0 —
Bud-cet
Uji;lDescr
Date--
Purchaser ------ Date
Approval----------
SUBTOTAL $263.00
TAX 0.00
SHIPPING AND HANDLING 33.00
ADDITIONAL SHIP FEE 0.00
INVOICE TOTAL $296.00
LESS AMOUNT PAID 0.00
BALANCE DUE $296.00
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Country Casual Terms
7601 Rickenbacker Drive
Gaithersburg, MD 20879-4807
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/7/12 4609 Repair parts for park benches 31242 $ 296.00
Total $ 296.00
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.
Country Casual Allowed 20
7601 Rickenbacker Drive
Gaithersburg, MD 20879-4807
In Sum of$
$ 296.00
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or Board Members
Dept ept# INVOICE NO. ACCT#/TlTLE AMOUNT
1125 4609 4237000 $ 296.00 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
I
29-Nov 2012
Signature
$ 296.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund