HomeMy WebLinkAbout217313 02/13/2013 a CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 547 E 161ST ST
WESTFIELD IN 46074 CHECK NUMBER: 217313
CHECK DATE: 2/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1582 30 . 00 REPAIR PARTS
P/CKETT•S PLACE 0 H Y 0 0 C E
547 E 161ST Invoice Number:
WESTFIELD, IN 46074 1582
Voice: 317-896-3271 Invoice Date:
Sold To: Fax: 317-896-2036 Jan 1,2013
Page
1
Came/Street Department
3400 West 131st street
WESTFIELD, IN 46074
Customer ID Customer PO Shipping Method Payment Terms Due Date
VERBAL MIKE Cust. Pickup Net 30th of Next 2/28/13
Mmth
Quantity Item Description Unit Price Amount
1.00 BROACH KEY (5/16) 30.00 30.00
COPY
Subtotal 30.00
Sales Tax
Total Invoice Amount 30.00
Check/Credit Memo No:
Payment/Credit Applied
TOTAL 30.00
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))
01/01/13 1582 $30.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF $
547 E. 161st St.
Westfield, IN 46074
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I 1582 I 42-370.001 $30.00 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
Frida , ebrf 08, 2013
S�Tet �nmisgio e
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund