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217299 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366942 Page 1 of 1 ONE CIVIC SQUARE PAIGE'S MUSIC CHECK AMOUNT: $69.98 CARMEL, INDIANA 46032 5282 EAST 65TH ST INDIANAPOLIS IN 46220 CHECK NUMBER: 217299 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239099 207399-01 69 . 98 OTHER MISCELLANOUS 5282 E.65th Street • Indianapolis,IN 46220 � ,d chops "'ENCORE indyflu�p s�c P 317.842.2102 317.813.2070 317.577.3434 317.813.2044 S A L E S I N V O I C E 1.800.382.1099 1.877.900.3786 1.800.974.4713 1.877.553.5883 Inv. Date 2/06/2013 www.paigesmusic.com Invoice # 207399 O1 Customer # 214901 Ship Date 2/06/2013 Written by JLH Bill To: CITY OF CARMEL FIRE DEPARTMENT ONE CIVIC SQUARE CARMEL, IN 46032 Terms: NET 30 DAYS PO #: MALLETS Ordered By: JEFF FUCHS Ship Via: WALKIN (OVER THE COUNTER) Comments: ITEM DESCRIPTION ORDER QTY SHIP QTY UOM PRICE EXT. PRICE -----____________________ -------- ___ __________ ____________ ------------------------------------------------ --------- 7027749 MALLETS TENOR V FIRTH GROOVE TENOR JOHNNY LEE LANE 1 1 EA 33.99 33.99 7006184 MALLETS BASS MARCH VFIRTH MB4H HARD XL 28-30" 1 1 EA 35.99 35.99 Sub Total : 69.98 Tax: .00 TOTAL: $ 69.98 Return this lower portion with your payment to: SALE W.H. Paige & Company 5282 East 65th Street Indianapolis. IN 46220 Ordered By: JEFF FUCHS Inv. Date: 02/06/2013 Invoice #: 207399-00 Customer #: 214901 Cust. Name: CITY OF CARMEL FIRE DEPARTMENT Invoice Total : $ 69.98 _ C.C.#: C.C. Exp. Date: Amount: $ _ CHECK #: I agree to pay above total amount _ MONEY ORDER #: according to card issuer agreement. Card Holder Signature: 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)) 207399-01 Honor Guard $69.98 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. ALLOWED 20 Paige's Music IN SUM OF $ 5282 East 65th Street Indianapolis, IN 46220 $69.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 207399-01 I 42-390.99 I $69.98 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 FEB 112013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund