HomeMy WebLinkAbout223390 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 364797 Page 1 of 1
0 ONE CIVIC SQUARE BAILEY TOOLS&SUPPLY
CARMEL, INDIANA 46032 PO Box 17526 CHECK AMOUNT: $206.55
? LOUISVILLE KY 40217 CHECK NUMBER: 223390
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1207121 206 . 55 REPAIR PARTS
09120113 06: 34 PH 502-635-6470 via VSI—FAX Page 1 of 1 #71950 #F]_
INV®ICE
Bailey Tools & Supply, Inc.
rnTvolcE
Branch: 04 Bailey Tools-Indianapolis 1207121
P.O.Box 17526 Invoice.Date. Page
Louisville,KY 40217 8/19/2013 15:58:43 1 of 1
USA ORDER TNTUMBER
1224862
502-635-6348
Bill To: Ship To:
Carmel Street Dept Carmel Street Dept
3400 W 131st St 3400 W 131st St
Westfield, IN 46074 Westfield, IN 46074
Ordered By:Mr.MIKE IN SIIOP
Customer ID: 6925
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
VERBAL MIKE IN SHOP Net 30 09/18/13 09/18/13 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
8/13/2013 13:56:56 1209144 Keith Burgess M_TERNET
Oaantities Pricing
Item ID U011 Unit Extended
Ordered Shi d Remaining UOA4 Item Description Price Price
PFe & Unit Size Unit Size
Carrier: Tracking#:
2 2 0 EA PARTS 6703 EA 94.000 188.00
1.0 Repair Parts 1
TARGET#043250 WHEEL 6X2X1
4 4 0 EA PARTS 6703 EA 1.890 7.56
1.0 Repair Parts 1
TARGET#542 04 64 02 WASHER
Total Lines.2 SUB-TOTAL: 195.56
TAX. 0.00
FREIGHT. 10.99
AMOUNT DUE: 206.55
ORIGINAL
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))
08/19/13 1207121 $206.55
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bailey Tools and Supply, Inc.
IN SUM OF $
P. O. Box 17526
Louisville, KY 40217
$206.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1207121 I 42-370.001 $206.55 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
Frid August 23, 2013
" f
Street ComlisOoner
Street omm[noner
Cost distribution ledger classification if
claim paid motor vehicle highway fund