221515 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 00351374 Page 1 of 1
ONE CIVIC SQUARE GODBY HOME FURNISHINGS CHECK AMOUNT: $327.29
CARMEL, INDIANA 46032 17828 US 31 NORTH
WESTFIELD IN 46074 CHECK NUMBER: 221515
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463000 6140850 327 . 29 FURNITURE & FIXTURES
"Quality Furniture, Affordable Prices"
Git dby -- - - - -
HOME FURNISHINGS CUSTOMER ID ( $AL£$NQ. i $A LE DATE �PAGE
Family Owned Since 1914 - - 3175712631 6140850 06/25/2013- 1
13610 N.Meridian St.
Carmel,IN 46032 l , l , ,
317-566-8720 `J. ,' `J C� I l ' , t
SOLD TO: DELIVER TO:
CARMEL FIRE DEPT . (43) CARMEL FIRE DEPT. (43)
3042 E. 106TH ST . 3042 E. 106TH ST.
CARMEL, IN CARMEL, IN
w. 317-571-2631 mike c. 966-2370
SLSPRSN DELIVERY PAYMENT TERMS
P.M.giO w_` - not in service 06/25/2013 PAID BEFORE DELIVERY
ITEM ID ITEM DESCRIPTION UNIT PRICE EXTENDED PRICE
STATUS — - —
3 EA LR0007156 ASHLEY T007-158 CHAIRSIDE TABLE 119 . 95 305 . 88
TH]SO (NFD) 53 . 97 DISCOUNT
Godby Group: Occ Tables
----- SALE REMARKS -----
to pick up at whs today
SALE TOTAL
No refund or exchanges beyond five(s)days of receipt or delivery or running Ilne merchandise. TAXABLE M ISC.CHARGES 305 . 8 8
Spedal Orders and Lay-a-ways require a TS%non-refundable deposi4. SALES TAX 0 00
Seller 15 not responsible for damage cautod by customers transporta cm,assembly,or 7 . 0 0�0 _ MI SC.CHARGES 21 . 4 1
maintenance of any type of merenandise. 0 . 00
GRAND TOTAL
cu3tomer signature GRAND 327 . 29
PAYMENT RECEIVED 0. 00
BALANCE DUE 327 .29
2,2:a6 ed bZ2b099Lti2:W0JJ S2:@T 202-92-Nnf
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))
6140850 Sta. 43 $327.29
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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Godby Home Furnishings
IN SUM OF $
17828 US 31 North
Westfield, IN 46074
$327.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1120 I 6140850 1 102-630.00 I $327.29 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
JUL -.1 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund