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215740 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366765 Page 1 of 1 ONE CIVIC SQUARE PENTZER PRINTING INC i CHECK AMOUNT: $957.54 CARMEL, INDIANA 46032 4505 KELLY ST PO BOX 981 CHECK NUMBER: 215740 COLUMBUS OH 47202 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4356001 1112 957 . 54 UNIFORMS INVOICE .. Pentzer Printing, Inc, Since 1902 Invoice # 1112 4505 Kelly Street, P.O. Box 981, Columbus, IN 47202 Phone: 812-372-2896 Fax:812-372-2901 Invoice Date 12/10/12 0 Date Shipped SEC C, r ; Ship Via UPS Ground �`-'• Salesperson Andrea Wilson City of Carmel ,C; Lisa Stewart '°` Terms Net 30 Days One Civic Square Carmel, IN 46032 P.O. Number Job Number 122258 F. ���. .��... .p'es_�ri'�tt3r :•..: , . �..-�r&. ni =Us4�� :�:ti:.rrount�- 1 25 shirts 957.540000 957.52 �t�Th es : Subtotal er -.; be a-1:1/2% 'p =-baancMwi n."j 957.54 "_ - ,.. Sales Tax 4„ #+�M: 1iM` : 4 96 _ `3S C.' a - "b T Du To �' e VOUCHER NO. WARRANT NO. Pentzer Printing ALLOWED 20 IN SUM OF $ 4505 Kelly Street, PO Box 981 Columbus, IN 47202 $957.54 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 I 1112 I 43-560.01 I $957.54 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 Monda , December 17, 2012 Direc r 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)) 12/10/12 1112 Shirts $957.54 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