HomeMy WebLinkAbout216491 01/15/2013 a may,, CITY OF CARMEL, INDIANA VENDOR: 366865 Page 1 of 1
ONE CIVIC SQUARE SHADE PRO
CARMEL, INDIANA 46032 SHAWN RAYL CHECK AMOUNT: $420.00
PO BOX 262 CHECK NUMBER: 216491
WINDFALL IN 46074
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 627218 420 . 00 AUTO REPAIR & MAINTEN
627218
� l.Ji na��iv. 4rG47lo
CU O hR;S RDEq NO DEPARTMENT DATE ,
/t a 0 f
NAM �--
CITY,STATE,ZIP
SOLD B�Y t7 CASH C.O.D. CHARGE ON.ACCT. MDSE.RETD.- PAID OUT
' QUANTITY DESCRIPTION PRICE AMOUNT
3 1�l (En)�l��� `rCs
2
er zJvrClvul &I �ictes
3
6 !14P
5
a
9
10
I
11
14 /PT
15
16
17
18
RECEIVED BY
A-5805
301463W KEEP THIS SLIP FOR REFERENCE
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))
627218 E45, A44, A45, C4505 $420.00
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.
Shade Pro ALLOWED 20
IN SUM OF $
PO Box 262
Windfall, IN 46076
$420.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 I 627218 I 43-510.00 I $420.00 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
JAN 14 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund