HomeMy WebLinkAbout222121 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1
ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $31.82
819 ELSTON DRIVE CARMEL, INDIANA 46032
,�roN io SHELBYVILLE IN 46176 CHECK NUMBER: 222121
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 2358174 31 . 82 OTHER RENTAL & LEASES
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<�iTY ��F (�AJR88ELP��L\(�E �3EPT Invoice 2358174 Ply
Mate's
Date 0709/2013 (808)653'2861
CAR�EL IN ww^wp�n�acom
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PO# 27O1A
Stop 220 ���m/���� '�~�~ SHELBYV|LLE IN 46176
.
ROBERT ROBINSON r*'4�!' X�n"`'��*�'�'/'+'�c�n�
RT 30
Line]item# ""Name fbescription Inv. Qty. R6p't
1 10e0 3X4 PACIFIC BLUE MAT 1 $2.70
2 107* *X0 PACIFIC BLUE MAT 3 $1622
8 1478 3X5 COMFORT FLOW MAT 1 Q3.95
Service Charge $8.95
Subtotal $31.82 Please pay fr0Dlth's i[lY0'Ct
/ax
Total $31.8� '
Thanks for your business.
Your W1atMan-RicbardSkillman
Past Due Amounts
�}81}ays 60Iays -90 Days- Customer Signature
$ U.00 $ O.0U $ 0,00 RT 30
VOUCHER NO. WARRANT NO.
Plymate's MatMan ALLOWED 20
IN SUM OF $
819 Elston Drive
Shelbyville, IN 46176
$31.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 2358174 I 43-530.99 I $31.82 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
Wednesday, July 10, 2013
41Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/09/13 2358174 rug rental $31.82
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