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220941 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: T362076 Page 1 of 1 i ONE CIVIC SQUARE ALTAIR PROMOTIONS LLC �f CARMEL, INDIANA 46032 2018 WINTON AVENUE CHECK AMOUNT: $1,365.14 SPEEDWAY IN 43224 CHECK NUMBER: 220941 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239011 329 1, 365 . 14 SPECIAL DEPT SUPPLIES Altair Promotions LLC Invoice 2018 Winton Ave Date Invoice# Speedway, IN 46224 6/5/2013 329 Bill To Ship To Citv of Carmel City of Carmel 3400 W. 131 st Street 3400 W. 131 st Street Carmel, IN 46074 Carmel, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Project Due on receipt DS 6/5/2013 Quantity Item Code Description Price Each Amount 25 Pole Pole Black 6'z f" 13.50 337.50 25 bracket Brackets Silver 6.25 156.25 25 Pole Acorn tops Gold 1.95 43.75 23 Pole Neverfurl Kits Mack Back ordered 2,to be shipped 14.25 327.75 25 USFLAG US Flags 3'x5' 17.50 437.50 I FREIGHT Shipping Charges US flags 1390 13.90 1 FR131GFIT Shipping Charges for Poles.et 43.49 43.49 out-of State sale,exempt from sales tax 0.00% 0.00 Total S 1,365.14 VOUCHER NO. WARRANT NO. ALLOWED 20 Altair Promotions, LLC IN SUM OF $ 2018 Winton Ave Speedway, IN 46224 $1,365.14 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 329 I 42-390.111 $1,365.14 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 3 uvvvw Title Cost distribution ledger classification if claim paid motor vehicle highway fund. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201 (Rev. 1995) 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)) 06/05/13 329 $1,365.14 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