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223911 09/10/2013 °,;.F CITY OF CARMEL, INDIANA VENDOR: 00351160 Page 1 of 1 0 ONE CIVIC SQUARE FEDEX KINKO'S-COPY CHARGES CHECK AMOUNT: $25.50 CARMEL, INDIANA 46032 Po Box 672065 DALLAS TX 75267-2085 CHECK NUMBER: 223911 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 070400011101 25 . 50 OTHER MISCELLANOUS INVOICE Official Bill of Sale Terms Net 30 Days Please Reference Invoice# Below INVOICE#: 070400011101 Please remit payment to: GTN#: FedEx Office Receipt#: 0704002 Reg: LA10 Page: 1 Customer Administrative Services Account#: 0000386806 Card#: 0041 P.O. Box 672085 Customer#: City Of Carmel Auth User: Clerk-Treasurer's Office Dallas, TX 75267-2085 Reference: none Tax Exempt#: Date: 08/02/13 01:08 PM Co-Worker: Qty/List Disc. Price Amount Questions?Please calla 1 LF Mounting 24x36 800.488.3705 30.00 4.5000 25.500 25.50 Discount Total $4.50 User/Requestor Information Signee: anne davis Signee Phone: 317.571.2414 SUBTOTAL $25.50 Electronically Reproduced T $0.00 Y p TOTAL $25.50 Copy of Original Thank you for choosing FedEx Office Carmel IN Carmel Dr 317.818.1600 530 E Carmel Dr Visit our website at Carmel, IN 46032-2814 fedex.com Prescribed by State Board of Accounts City Form No.207(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)) Total 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. T�-dL� 1 ALLOWED 20 IN SUM OF $ 7)U Lis 2E- $ 5Z) ON ACCOUNT OF APPROPRIATION FOR ILe 4t Board Members PO#or D PT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or C �' S bill(s) is (are) true and correct and that the 10 v( materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund