HomeMy WebLinkAbout218196 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COCK AMOUNT: $214.01
CARMEL, INDIANA 46032 C/O PAM LISTER
CHECK NUMBER: 218196
CHECK DATE: 3/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 214 . 01 BUILDING REPAIRS & MA
Packing Slip
Date Reference Page
No.
The sore serving yqu I s 2/25/2013 1XINS10453 1
Cust. No. 1HIM80267 430 tilpha Drive, suite 300 DUE DATE; 13/15/2013
Cust. P.O. WESTFIELD, H 160?4
Job No. Phone #: 317-067-525,j
Fax #: 317-867-5394 ShfIlly. .. ........ .....
014116ye 6olf Course ric
12120 Brookshire Parkway
CARMEL, H 4602:3
This Or% and DacWaDt are subject to the term of Purchase posted on wwwfastenal.com:
LLine Quantity Quantity Quantity Control Price
No. Ordered Shipped Backorder Description No. Part No. 1'un d Amount
;A;
I UV 420 0�3/00 UKK ROS M 1101261/1 104110b y0_; ml'
I JI
Received By Tax Elemption Subtotal 2 03.P.-I,
No Exemption 6MOpMg& hiand/Ag 10,02
State Tax L 0
CO 01
TOWN Bob Higgins County Tax 01H
City 7AX 0.`?'0
If ou rp-Aphwp or relsgll this produrt, ou requ re.1 TOTAL UsD 214.01
A d to
is produm
UouRry A urigin
Reasonable collection and attorneys fees will be An invoice will be mailse in aPPMWMataly five to ten assessed,to to all gcounts q/aV for collQction, Thank You
Ar ;vas 'i0 o -a PrOfi'40)t:13nai or special discount price
FORM IN03 No materials accepted for return without our permission-ir
All discrepancies must be reported within 10 days. Printed
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash IN SUM OF $
$214.01
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 Fastenal I 43-501.00 I $214.01 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
Tuesday, February 26, 2013
Director, Brooks kV Golf Club
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))
02/25/13 Fastenal Building Materials $214.01
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