HomeMy WebLinkAbout217132 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 363940 Page 1 of 1
t` ONE CIVIC SQUARE FILTER SERVICES OF INDIANA
CARMEL, INDIANA 46032 1550 INDIANA AVE
CHECK AMOUNT: $177.84
INDIANAPOLIS IN 46202-2153 CHECK NUMBER: 217132
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 20139596 177 . 84 REPAIR PARTS
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Date Invoice# S.O. No.
EFax Indiana Ave. 1/31/2013 20139596
FILTER is, IN 46202-2153
SERVICES
(31 7) 264-2123
OF INDIANA
317)264-2121 Station 41 Bob V
P.O. No.
Ship To
� Brill To E DEPT.
CARMEL FIR
CARMEL FIRE DEPT. 2 CIVIC SQUARE
2 CIVIC SQUARE CARMEL, IN 46032
CA
RMEL, IN 46032
Due Date Ship Date Ship Via
FOB Rep Project
- Terms CA
1/31/2013 1/31/2013 PICK UP
Description Ordered Prev. Inv. Invoiced
Rate Amount
Item "^:7r4-1 177.84
24
ZPL 22X22... 172 0- 2-22A22A ZPL 22X22X2
PLEATED FILTER
i
Subtotal $177.84
Sales Tax (7.0%) $0.00
Total $177.84
_ Payments/Credits $0.00
Balance Due $177.84
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))
20139596 Furnace Filters $177.84
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Filter Services of Indiana
IN SUM OF $
1550 Indiana Avenue
Indianapolis, IN 46202
$177.84
I
ON ACCOUNT OF APPROPRIATION FOR
I
Carmel Fire Department l
I
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT j
Board Members
1120 I 20139596 I 42-370.00 I $177.84 I hereby certify that the attached invoice(s), or
i
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
FEB 1 1 2013
I
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund