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220212 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 365796 Page 1 of 1 ` ONE CIVIC SQUARE J M E&TCS, INC ? CARMEL, INDIANA 46032 582 SOUTH RANGELINE ROAD CHECK AMOUNT: $2,100.00 CARMEL IN 46032 <„„ o CHECK NUMBER: 220212 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4352600 1024 2, 100 . 00 AUTOMOBILE LEASE JM&E TCS Invoice 582 South Rangeline Rd. Date fl e# Carmel, IN 46032 4/18/2013 4 Bill To City of Carmel Attn: Sharon Kibbe One Civic Square Carmel, IN 46032 -� - - - — — - - P.O. No. Terms � _ _ _ —- Project ---- _� —_ Due on receipt Quantity Description Rate Amount 1 Quarterly Lease 2012 Fusion 2,100.00 2,100.00 2012 Ford Fusion Hybrid May 1,2013 -July 31,2013 VIN 43FADPOL37CR193342 Total $2,100.00 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)) 04/18/13 1024 $2,100.00 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 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 JM&E TCS IN SUM OF $ 582 South Range Line Road Carmel, IN 46032 $2,100.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 1024 43-526.00 $2,100.00 I 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 Frid y, May 17, 2013 Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund