HomeMy WebLinkAbout224453 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 060690 Page 1 of 1
ONE CIVIC SQUARE CLARK SALES&SERV, INC
CARMEL, INDIANA 46032 PO BOX 44719 CHECK AMOUNT: $119.00
l' MADISON WI 53744-4719
„o„ o CHECK NUMBER: 224453
CHECK DATE: 9125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 1000371439 119 . 00 BUILDING REPAIRS & MA
INVOICE
Delivery Date 09/04/2013
8767 Boehning Lane Delivery (3 17)898-0135 Invoice# 1000371439
A P P L 1 A N C [
Indianapolis,IN 46219 Service (317)890-9202 Sales Order# 2169590
Fax (3 17)895-3161 Customer# CARMELSTRE
Customer PO
Salesperson
Coryell,Shawn
BILL TO: gstomer (3 17)733-2001 SOLD TO:
Carmel Street Department Carmel Street Department
3400 West 131 st Street
Westfield,IN 46074 3400 West 131st Street
3 Westfield, IN 46074
Customer (3 17)733-2001
Model/D'escr`iption:/Serial# Brand Qty UniYPrice Ext Price Tax --
Service for Sub Zero 1 $119.00 $119.00 $0.00
Model#:690/S/Serial#:M2099228
Remit To: ! SubTotal $1.19:00
Clark's Sales&Service, Inc. I Sales Tax $0.00
i Total $11,9.00
P.O. Box 44719
Payments $0.00
l Madison, WI 53744-4719 i Invoice Due-!' - $119.00
Terms :NET 30
I
lJ
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))
09/04/13 1000371439 $119.00
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.
ALLOWED 20
Clark's Sales & Service, Inc.
IN SUM OF $
P.O. Box 44719
Madison, WI 53744-4719
$119.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT_ Board Members
2201 I 1000371439 I 43-501.001 $119.00 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
Friday Sep a ber 20, 2013
&/LA
treet Co mis • r
Street Corr As.iOner
Cost distribution ledger classification if
claim paid motor vehicle highway fund