HomeMy WebLinkAbout225514 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 00350781 Page 1 of 1
1 � ONE CIVIC SQUARE PICKETT'S PLACE CHECK AMOUNT: $85.00
® o CARMEL, INDIANA 46032 547 E 161ST ST
ti«ox,�o WESTFIELD IN 46074 CHECK NUMBER: 225514
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1709 85 . 00 REPAIR PARTS
Pickett's /dace O MO N C
547 East '6fst street Invoice Number:
WestFeld, IN 46074 1709
Voice: (317)896 3271 Invoice Date:
Sold To: Fax: (317) 896 2036 Oct 15, 2013
Page
1
Carmel street Department
3400 West '3fst street
WestDeld, IN 46074
USA
Customer ID Customer PO Shipping Method Payment Terms Due Date
MIKE IN Cust. Pickup Net 30 Days 11/14/13
n
Quantity Item-7 Description Unit Price Amount
1.00 FIXED THREAD ON SHAFT(DB 150) 85.00 85.00
Subtotal 85.00
Sales Tax
Total Invoice Amount 85.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 85.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pickett's Place
IN SUM OF $
547 E. 161st St.
Westfield, IN 46074
$85.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 1 1709 1 42-370.001 $85.00 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
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ednesgby, Oc r 16, 201;
h
Street Commissi
Qt11100t 8® ....91',..1__.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/15/13 1709 $85.00
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