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225896 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 363833 Page 1 of 1 f ONE CIVIC SQUARE MCBETH'S EMBROIDERY&SILKSCREE CARMEL, INDIANA 46032 1015 3RD AVE SW HECK AMOUNT: $11.00 CARMEL IN 46032 CHECK NUMBER: 225896 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 20131523 6 . 87 OTHER EXPENSES 651 5023990 20131523 4 . 13 OTHER EXPENSES McBeth's Embroidery & Silkscreen Invoice 1105 3rd Avenue SW Carmel, IN 46032 Date Invoice# 10/23/2013 20131523 Bill To Ship To Carmel Utilities Scott Campbell 760 3rd Ave SW Suite 110 Carmel IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 10/23/2013 Quantity Item Code Description Price Each Amount 2 Embroidery LHC 2 in 1 jacket 5.50 11.00 Sales Tax 7.00% 0.00 Total $11.00 Phone# Fax# i 317-848-7313 317-848-7315 i 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 363833 MCBETH'S EMBROIDERY& SILKSCREEN Purchase Order No. 1105 3RD AVE SW Terms CARMEL, IN 46032 Due Date 10/29/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/29/201: 20131523 $4.13 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 Date Officer VOUCHER # 136684 WARRANT # ALLOWED 363833 IN SUM OF $ MCBETH'S EMBROIDERY & SILKSCRE 1105 3RD AVE SW CARMEL, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 20131523 01-7360-07 $4.13 F 1 I � Voucher Total $4.13 Cost distribution ledger classification if claim paid under vehicle highway fund McBeth's Embroidery & Silkscreen invoice 1105 3rd Avenue SW Carmel, IN 46032 Date Invoice# 10/23/2013 20131523 Bill To Ship To Carmel Utilities Scott Campbell 760 3rd Ave SW Suite 110 Carmel IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 10/23/2013 Quantity Item Code Description Price Each Amount 2 Embroidery LHC 2 in 1,jacket 5.50 11.00 Sales Tax 7.00% 0.00 Total $11.00 Phone# Fax# 317-848-7313 317-848-7315 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 363833 MCBETH'S EMBROIDERY& SILKSCREEN Purchase Order No. 1105 3RD AVE SW Terms CARMEL, IN 46032 Due Date 10/29/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/29/201: 20131523 $6.87 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 11�l�l �--�l ✓!^.^'"f/Y(.-,.,_�=._j--" Date Officer VOUCHER # 133210 WARRANT # ALLOWED 363833 IN SUM OF $ MCBETH'S EMBROIDERY & SILKSCRE 1105 3RD AVE SW CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members i PO# INV# ACCT# AMOUNT Audit Trail Code 20131523 01-6360-07 $6.87 Voucher Total $6.87 Cost distribution ledger classification if claim paid under vehicle highway fund