HomeMy WebLinkAbout220168 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 362830 Page 1 of 1
ONE CIVIC SQUARE GIBBS AUTO INTERIORS, LLC
' CARMEL, INDIANA 46032 23699 US 31 NORTH CHECK AMOUNT: $575.00
+� ARCADIA IN 46030
CHECK NUMBER: 220168
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 3336 575 . 00 AUTO REPAIR & MAINTEN
Gibbs Auto Interiors Invoice
23699 US 31 North
r ���/� Date Invoice#
Arcadi, IN 46030
�/
_ 5/14/2013 3336
Bill To Ship To
CARMELEMS
2 CIVIC SQUARE
CARMEL,IN 46032
I
P.O. Number Terms Rep Ship Via F.O.B. Project
5/14/2013
Quantity Item Code Description Price Each Amount
Car Seats Labor GOLF CART SEAT 400.00 400.00
Car Seats Material MATERIALS 175.00 175.00
7.00% 0.00
Total $575.00
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))
3336 EMS Cart $575.00
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
Gibbs Auto Interiors
IN SUM OF $
23699 US 31 North
Arcadia, IN 46030
$575.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I 3336 I 43-510.00 I $575.00 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
MAY 2 0 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund