HomeMy WebLinkAbout215392 12/11/2012 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: $150.00
WESTFIELD IN 46074 CHECK NUMBER: 215392
CHECK DATE: 12111/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1555 150 . 00 REPAIR PARTS
PICKElT•S PLACE O NV O N C
547E, l6fST Invoice Number:
WESMELD, IN 46074 1555
Voice: 317-896-3271 Invoice Date:
Sold To: Fax: 317-896-2036 Dec 3,2012
Page
1
Came/Street Department
3400 West 13fst street
WESMELD, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL JEFF Cust. Pickup Net 30th of Next 1/30/13
Unnth
Quantity Item Description Unit Price Amount
6.00 303 STAINLESS STEEL FITTINGS (SHORT) 25.00 150.00
Subtotal 150.00
Sales Tax
Total Invoice Amount 150.00
Check/Credit Memo No:
Payment/Credit Applied
TOTAL 150.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF $
547 E. 161st St.
Westfield, IN 46074
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1555 I 42-370.00j $150.00 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
i", f l 1 il
j,
ff' Frtiday, Decembe�/07%2012
StStreet(Com`rrii9ioner
Title
Cost distribution ledger classification if
claim paid motor 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 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))
12/03/12 1555 $150.00
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