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223934 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 360946 Page 1 of 1 ONE CIVIC SQUARE GODWIN COMPANY INC CHECK AMOUNT: $213.00 ' t CARMEL, INDIANA 46032 1175 W 16TH STREET INDIANAPOLIS IN 46202 CHECK NUMBER: 223934 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350000 22896 213 . 00 EQUIPMENT REPAIRS & M Godwin Company, Inc. ONVOUCE 1175W. 16th Street Indianapolis, IN 46202 RECEIVED Invoice Number: 22896 US AUG 2 2 2013 Invoice Date: Aug 2, 2013 Page: 1 Voice: 317 637-3325 Fax: 317 263-9625 1BY: Website:www.godwincompany.com '4 0 i 0-- .' Sh P 0: CARMEL CLAY PARKS DEPARTMENT CARMEL CLAY PARKS DEPARTMENT 1411 EAST 116TH STREET 1411 EAST 116TH STREET CARMEL, IN 46032 CARMEL, IN 46032 US us ustomer'� 3095 M001087 W Net 110 Days ue, a JRe 1p�IQ-» e,�,r.' D '�D 1i in Wethod',.,.- .'Ship;Date,' Hand Deliver 8/1/13 8/12/13 scri tior ' 6.0 hit 'Orice Amoqnt.:, 2.50 LABOR LABOR HOUR ON ROAD#46923- EZ-GO 72.00 180.00 SHTL4/6 ELE#2628919 1.00 TC TRUCK CHARGE 33.00 33.00 irchase --cript'on 0). 0.it L• L>0 10 Z7 or F +t4o De.scr F,,cp&,p� V ' F archaser_ Dae ­rcval _-Date JI-VI's Any parts returned must be returned within 5 Subtotal 213.00 days and be accompanied by the original Sales Tax invoice.Returns subject to 25%handling fee. Special Order Parts and Electrical Parts not Freight returnable. Total Invoice Amount 213.00 1.5%FINANCE CHARGE per month on Past Due Accounts over 30 days.Annual Percentage Rate Payment/Credit Applied is 18%. %- `TgT A L v � s 2F13 00 Customer Signature White-Customer Copy Yellow-Customer Packing Slip Pink-Service Copy Gold-Parts/Rentals Copy 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. Godwin Company Inc. Terms 1175 W 16th Street Indianapolis, IN 46202 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/2/13 22896 Golf cart service $ 213.00 Total $ 213.00 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. Godwin Company Inc. Allowed 20 1175 W 16th Street Indianapolis, IN 46202 In Sum of$ $ 213.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1091 22896 4350000 $ 213.00 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 5-Sep 2013 Signature $ 213.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund