HomeMy WebLinkAbout227700 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 00350527 Page 1 of 1
ONE CIVIC SQUARE DON'S AUTO TRIM CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD
INDIANAPOLIS IN 46224 CHECK NUMBER: 227700
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 0106791 400 . 00 REPAIR PARTS
DMI AM 7w
`�, Rp� C",V , 0106791
5397 Rockville Road • Indianapolis, IN 46224
(317) 227-0988 Office • (317) 227-0977 Fax
Customer's
Order No// / / Date /,�'�� 20 / 3
Address
City State � +
SOLD BY CASH C.O.D. HARGE' ON ACCT. MDSE.RETD. PAID OUT
QUAN. fJ DESCRIPTION 1 PRICE AMOUNT
ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don's Auto Trim
IN SUM OF $
5397 Rockville Road
Indianapolis, IN 46224
$400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 0106791 I 42-370.001 $400.00 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
9
uesda Dec e e 13
r
SM"&(7d ,T 's6neer
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))
12/26/13 0106791 $400.00
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