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222860 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: T359841 Page 1 of 1 ONE CIA SQUARE CARMEL CYCLERY CARMEL, INDIANA 46032 230 W CARMEL DRIVE CHECK AMOUNT: $44.98 4 '+ CARMEL IN 46032 CHECK NUMBER: 222860 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4232000 44 . 98 TIRES & TUBES Ca//Tle/ Connecting you culth b/king/ July 29, 2013 Workorder#18413. Created on 7-22-13. Carmel Engineering Department Attn: David Barnes Minimum Labor Charge 8.00 Tire Specialized Nimbus 70008 29.99 Tube 700x85 SV 6.99 Subtotal: $44.98 Tax 2.59 Total: $47.57 Thank you, Patrick Luzadder Carmel Cyclery 230 W Carmel Dr, Carmel, IN 46032 317-575-8588 Carmelcyclery.com 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)) 07/29/13 Tires/Tubes for bikes $44.98 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel Cyclery IN SUM OF $ 230 W. Carmel Drive Carmel, IN 46032 $44.98 ON ACCOUNT OF APPROPRIATION FOR Carmel "f9Yr';�'�+'�'�� PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 42-320.00 I $44.98 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 Monday, August 12, 2013 ZAZ Z Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund