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218117 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367010 Page 1 of 1 ONE CIVIC SQUARE JIM'S PLUMBING CORP ~ CARMEL, INDIANA 46032 8328 CARMEL RIDGE RD CHECK AMOUNT: $450.00 MORGANTOWN IN 46160 CHECK NUMBER: 218117 CHECK DATE: 3/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 121912 450 . 00 OTHER EXPENSES MAR-7-2013 02:38 FROM:FAXITEST 18884732963 - TO:13177332053 P.1/1 l v9,l 48160 left i 11 � -U - A)efETZ- f r V VOUCHER # 131093 WARRANT # ALLOWED TJIM'SP IN SUM OF $ JIM'S PLUMBING CORP 8328 CARMEL RIDGE RD MORGANTOWN, IN 46160 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code i 121912 01-6360-06 $450.00 1 Voucher Total $450.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. o Payee TJIM'SP JIM'S PLUMBING CORP Purchase Order No. 8328 CARMEL RIDGE RD Terms MORGANTOWN, IN 46160 Due Date 3/8/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/8/2013 121912 $450.00 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 Date Officer