HomeMy WebLinkAbout215393 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
.�` ONE CIVIC SQUARE PLYMATE
CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK AMOUNT: $207.04
SHELBYVILLE IN 46176 CHECK NUMBER: 215393
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CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 R4350100 26974 2310861 207 . 04 FLOORMATS
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CARMEL CITY HALL f 0 invoice# 2310861 �` Plymate's MatMan AdIN ONE CIVIC SQUARE / WB Date 11!27/2012 �•:. (877)648-0903
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CARMEL, IN 46032 9 7 Cust# 7073 '' www•plymate.com
819 ELSTON DR
Zb� Stop 240 SHELBYVILLE, IN 46176
JEFF BARNES yt7rkplaceApparel&Floor Mat Programs
Written authorization required from the City RT 30
of Carmel to chan e service frequency
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Line' Ifem�# arrie%bescri' tori - ;Inv. 'Qt'.:=-:.: �Rental :rRe
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1 1025 4X6 COMFORT FLOW MAT 3 $36.99
2 1074 4X6 MAHGNY BRWN MAT 5 $40.56
3 1097 ROTATE 4X6 COM FLOW
4 1208 5X15 CUSTOM MAT 1 $37.26
5 1505 75 X 76 CUSTOM MAT 2 $47.59
6 1506 7 X 10 CUSTOM MAT 1 $35.69
Service Charge $8.95
Subtotal $207.04 Please pay from this invoice
Tax
Total $207.O
Thanks for your business.
i
Your MatMan-Richard Skillman ! ,
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Past Due Amounts j
30 Days 60 Days 90 Days _ Customer Signature
$ 0.00 $ 0.00 $ 0.00 RT 30
D Q �
DEC 10 2012
By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Plymate's MatMan
IN SUM OF $
819 Elston Drive
Shelbyville, IN 46176
$207.04
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26974 2310861 43-501.00 $207.04 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
Monday, December 10, 2012
L
Director, Administration
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))
11/27/12 2310861 $207.04
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