HomeMy WebLinkAbout227512 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 355216 Page 1 of 1
ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INC CHECK AMOUNT: $9,120.00
CARMEL, INDIANA 46032 14016 BRITTON PARK ROAD
FISHERS IN 46036 CHECK NUMBER: 227512
CHECK DATE: 1 211 712 01 3
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 9, 120 . 00 REPAIR PARTS
Invoice# 42720 Site &Address: 131 Street and Shelbourne Road
Carmel, Indiana.
Bill To: City of Carmel
Street Department Facilities
Attn: Jeff Stewart
Invoice
Materials:
Qty: Part# Description Cost: Net:
5 NO2 Nitrous Dioxide Transmitter 1,037.00 5,185.00
5 CO Carbon Monoxide Transmitter 787.00 3,935.00
Total Materials: 19,120.00
Labor:
Hours Rate: Total: Date: Time Type:
135 0.00
135 0.00
Total Labor: 0.00
Notes:
Material only Invoice
Total for this invoice: $ 9,120.00
Thomas L. Grantham Company, Inc. 14016 Britton Park Road, Fishers, IN 46038.
Tel (317)-845-8888 - Fax (317)-770-6160
VOUCHER NO. WARRANT NO.
ALLOWED 20
Thomas L. Grantham Company
IN SUM OF $
14016 Britton Park Road
Fishers, IN 46038
$9,120.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 1 42-370.001 $9,120.00 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
Fri
A.4
D , Y,4013
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))
12/12/13 $9,120.00
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