HomeMy WebLinkAbout223067 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366392 Page 1 of 1
ONE CIVIC SQUARE MAC'S SEPTIC LLC
CARMEL, INDIANA 46032 5829 W 10TH ST CHECK AMOUNT: $250.00
INDIANAPOLIS IN 46224 CHECK NUMBER: 223067
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 15910 250 . 00 BUILDING REPAIRS & MA
r s SEP'DIC LI Ce
56291R. 10-x;1 Street
an
Inm polis, IN 462
(317-247-11,974 W. 317-244-Mv
DATE \
SOLD TO SHIPPED TO
O ORD NO. UR ORDER NO. SALESMAN TERMS SHIPPED VIA L PD. OR
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
366392 Mac's Septic LLC Terms
5829 W. 10th Street
Indianapolis, IN 46224
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/2/13 15910 Latrine tank clean $ 250.00
Total $ 250.00
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.
366392 Mac's Septic LLC Allowed 20
5829 W. 10th Street
Indianapolis, IN 46224
In Sum of$
$ 250.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 15910 46350100 $ 250.00 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
8-Aug 2013
Signature
$ 250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund