HomeMy WebLinkAbout222353 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 060690 Page 1 of 1
ONE CIVIC SQUARE CLARK SALES&SERV,INC CHECK AMOUNT: $408.90
,o CARMEL, INDIANA 46032 8767 BOEHNING LANE
INDIANAPOLIS IN 46219 CHECK NUMBER: 222353
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 1000365885 408 . 90 EQUIPMENT REPAIRS & M
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Delivery Date 07N8/2013
Iovoice# 1000365885
8767 Boehning Lane Delivery (317)898-0135 ) Sales Order# 2166918
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Fax (3/7)x95-3|6/
Customer PO
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Du,ham,8"Oy
BILL TO: Cell (3\7)37\'3l4O SOLD TO:
City Of Carmel Fire Department Carmel Fire Station No.43
2 Civic Square 3242 E. 106th St
Carmel,IN 46032
Carmel, IN 46032
Cell (317)571-2043
tPF
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402-CO2075FF U Line $198.25 $198.25 $13.88
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Service for U LINE . .uu
Model#:DLN-B05YYH'0O/Serial#: |O\68O4)0O0l2
Remit To: itw-
'Sales Tax
Clark's Sales&Service,
P.O.Box 44719
Madison,WI 53744-4719
IN
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Sales & Service
IN SUM OF $
P.O. Box 44719
Madison, WI 53744-4719
$408.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1000365885 I 43-500.00 I $408.90 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
Fire Chief
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))
1000365885 $408.90
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