HomeMy WebLinkAbout216669 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 366914 Page 1 of 1
0 ONE CIVIC SQUARE COMPONENT FABRICATORS INC CHECK AMOUNT: $162.58
CARMEL, INDIANA 46032 5901 MIDDLEBROOK PIKE
KNOXVILLE TN 37909 CHECK NUMBER: 216669
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 31468 162 . 58 EQUIPMENT REPAIRS & M
Component Fabricators Inc. INV®ICE
5901 Middlebrook Pike
Knoxville TN 37909 '
- Date Invoice No.
865-992-7097
1/10/2013 >146s
P=
FAX 865-992-7669 f
Bill To Ship To
Carmel Clay Parks & Recreation �Carmel�C_a_y
Parks & Recreation
11411 E 1 16th St 1411 E 116th St
1317-573-4026 X317-573-4026
I
Carmel, IN 46032 Carmel, IN 46032
Invoice unpaid 30 days from date is subject to a finance charge of 1.5 percent per month,which is an annual percentage rate of 13 percent.
j P.O. Number Terms FOB Ship Via ' Date Due
,
mc003661 Net 30 Plant 1/10/2013 FcdE
_,X 02/09/2013
Quantity j Item Code Description j Price Each Amount
I `REP. PAD- 3 l .. _'REPLACEMENT PAD FOR 3102 DECLINE 85.001 85.00
UTILITY - PAD
j REP. PAD- 31 .. REPLACEMENT PAD FOR 3102 DECLINE 20.00 40.00
UTILITY - FACTORY ROLLER
1 Frt-316 Shipping and Handling Charges 37.581 37.58 3
Out of State Shipment 0.00% 0.00
r
I
i r
! Purchase �(ia/w / A,,,1
Description U./N84/GtvLG ,C/'(/ (/�l,
P.O.# m C P6
Bud Pt _
g I
I Line Descr 3
Purchaser I Date .,_. `
I
Approval Data JAN 112013
I
i I
Total $162.58
Please make check payable to: Component Fabricators Inc
Payments/Credits $0.00 I
We appreciate our business. m
p� y Balance Due 5162.58
Effective Date:November 5,2009 Document Control No: 1..1=D.017
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.
Component Fabricators Inc. Terms
5901 Middlebrook Pike
Knoxville, TN 37909
Ingate ;N voice Description
umber (or note attached invoice(s)or bill(s)) PO# Amount
11468 Replacement pads for decline bench $ 162.58
Total $ 162.58
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.
Component Fabricators Inc. Allowed 20
5901 Middlebrook Pike
Knoxville, TN 37909
In Sum of$
$ 162.58
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1096-21 31468 4350000 $ 162.58 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
24-Jan 2013
yt,P/1/
Signature
$ 162.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund