HomeMy WebLinkAbout227017 12/11/2013 "gtiF CITY OF CARMEL, INDIANA VENDOR: 366469 Page 1 of 1
ONE CIVIC SQUARE JNA MECHANICAL
CARMEL, INDIANA 46032 421 WEST MAIN ST CHECK AMOUNT: $576.50
GREENWOOD IN 46142
CHECK NUMBER: 227017
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 25382 2002 576 . 50 STREET STRIPING
Invoice
.DNA MECHANICAL.
421 West Main St
Greenwood IN 46142
317-640-8104
Bill To Wok Location
Carmel Police Department •' 2nd Floor Water heater#1
3 Civic Square
Carmel, IN 46032
Dafe 1,Voic errris
12/05/13 2002 Net 30
:Aftem _ Desc ription Amount
Service Repair leaks and install new element and controls as per quote 576.50
Thank You!
Total $,576.50~
INDIANA RETAIL TAX EXEMPT PAGE
City o Jl 1111 Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7W2013
JRA Mechanical Carmel Pollen Department
VENDOR SHIP 3 Civic Squat
TO
am.
y 1 Weat Maim Stmat Carmel, IN 46032
Gr@@n wood, IN 46142 (3`17)671-25M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-601.00
t Each replace bad heating element &thermostat on water heater $576.50 $570.50
Sub Total: $570.50
7,71
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�$
t
Send floor v er heater »®. I
Carmel Police Department
Attn: Teresa Andargon
3 Citric Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police .De A t r ~:�� ,
� 'PAYMENT $53 6.50
j A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL r /y
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I of I P 3g
olice
v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
5 3%2 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. NO._--_._._.�.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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_...---------____._-.___------------_._-._..-.-_-..—.
20
..---...................-----..........................--..._.......................-...........-........-.............................-................................................---
Signature
......................:....................__....., .- .-.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
JNA Mechanical
IN SUM OF $
421 West Main Street
Greenwood, IN 46142
$576.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25382 I 2002 I 43-501.00 I $576.50 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
Thursday, December 05, 2013
Chief of Police
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))
12/05/13 2002 water heater repairs $576.50
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