HomeMy WebLinkAbout216821 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00350062 Page 1 of 1
ONE CIVIC SQUARE SCOTT OSBORNE
CARMEL,INDIANA 46032 19702 SIX POINTS ROAD CHECK AMOUNT: $588.14
`rc SHERIDAN IN 46069
CHECK NUMBER: 216821
CHECK DATE: 1/2912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 588 . 14 REPAIR PARTS
INVOICE
BILL SHIP Invoice# 864635
TO Carmel Fire Department TO Carmel Fire Department
2 Civic Square 2 Civic Square Invoice Date 1/23/13
Carmel,IN 46032 Carmel, IN 46032 —--------—-----------
Customer ID
—---------
QTY DESCRIPTION UNIT PRICE TOTAL
2 PC Board Harness for Western V Plow $272.97 $545.94
2 Long Stand Pin $11.10 $22.20
2 Short Stand Pin $10.011 $20.
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-----—--------—------- —--------
—---------- —----------
i Subtotal $588.161
1 Tax
1 Shipping
Miscellaneous
Please return the portion below with your payment. BALANCE DUE
1 $588.16
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REMITTANCE
Invoice# 864635
iI
Amount Paid I
Make checks payable to:
Scott K.Osborne
19702 Six Points Road
Sheridan,IN 46069
VOUCHER NO. WARRANT NO.
ALLOWED 20
Scott Osborne
IN SUM OF $
$588.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#(TITLE AMOUNT Board Members
1120 I 864635 I 42-370.00 I $588.14 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 2 8 2013
Fire Chief
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))
864635 Misc. Plow Parts $588.14
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
120
Clerk-Treasurer