HomeMy WebLinkAbout218400 03/25/2013 a"e.f CITY OF CARMEL, INDIANA VENDOR: 00351470 Page 1 of 1
ONE CIVIC SQUARE BURGESS MECHANICAL CHECK AMOUNT: $79.25
CARMEL, INDIANA 46032 12220 SOUTHEASTERN AVE
INDIANAPOLIS IN 46259 CHECK NUMBER: 218400
CHECK DATE: 3/2512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 26144 79 .25 OTHER EXPENSES
Burgess Mechanical Corp.
Burgess Mechanical Corporation
12220 Southeastern Ave. Invoice
Indianapolis,IN 46259 Date Invoice#
Phone: 317-862-4395 03/08/2013 26144
Fax:317-862-6774,AK
317-862-6774 Terms Due Date
(317)862-4395 Due on receipt 03/08/2013
jb @burgessmechanical.com
Bill To
City of Carmel Utilities
9609 Hazel Dell Parkway
Indianapolis,IN 46280
Amount Due Enclosed
$79.25 --79„a5'
Please detach top portion and return with your pa;ment
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-------------------------- --------------- �:---------------- ------------------ ---�------------
Date Activity Quantity Rate Amount
03/07/2013 1/2”Fiberglass Rope 25 2.00 50.00
03/07/2013 Spray Adhesive 1 18.75 18.75
03/07/2013 UPS Charges 1 10.50 10.50
Deliquent accounts are subject to reasonable legal and collection fees. Total $79.25
VOUCHER # 135121 WARRANT # ALLOWED
00351470 IN SUM OF $
BURGESS MECHANICAL
12220 SOUTHEASTERN AVE
INDIANAPOLIS, IN 46259
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
P&# INV# ACCT# AMOUNT Audit Trail Code
26144 01-7202-06 $79.25
Voucher Total $79.25
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.
Payee
00351470
BURGESS MECHANICAL Purchase Order No.
12220 SOUTHEASTERN AVE Terms
INDIANAPOLIS, IN 46259 Due Date 3/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2013 26144 $79.25
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