HomeMy WebLinkAbout221664 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
4 � ONE CIVIC SQUARE PICKETT'S PLACE
s®,r CARMEL, INDIANA 46032 547 E 161ST ST CHECK AMOUNT: $150.00
•+ .off`o WESTFIELD IN 46074 CHECK NUMBER: 221664
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1645 150 . 00 REPAIR PARTS
Pickett's Place 01MUNCE
547 East 161st Street Invoice Number:
WestDe/d, IN 46074 1645
Voice: (317) 896 3271
Invoice Date:
Sold To: Fax: (317) 896 2036 Jun 17, 2013
Page
1
Cane/Street Department
3400 West ,/31st Street
WestDe/d, IN 46074
USAI
Customer ID Customer PO Shipping Method Payment Tenns Due Data
MIKE IN SHOP Cust. Pickup Net 30 Days 7/17/13
Quantity Item Description Unit Price Amount
2.00 2 BLOCKS BORED& BRONZE BUSHINGS 25.00 50.00
2.00 2 STEEL PINS MADE FOR BLOCKS 20.00 40.00
1.00 BRASS ACME NUT MADE 60.00 60.00
Subtotal 150.00
Sales Tax
Total Invoice Amount 150.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 160.00
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))
06/17/13 1645 $150.00
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
Pickett's Place
IN SUM OF $
547 E. 161 st St.
Westfield, IN 46074
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1645 I 42-370.001 $150.00 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
b 4� T#,
rsd J 013
SAR, 'C.:OrY1f ig► Imr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund