HomeMy WebLinkAbout227805 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 00350062 Page 1 of 1
`q wF ONE CIVIC SQUARE SCOTT OSBORNE CHECK AMOUNT: $84.20
CARMEL, INDIANA 46032 19702 SIX POINTS ROAD
SHERIDANIN 46069
+:,;,o�-o CHECK NUMBER: 227805
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CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 84 . 20 REPAIR PARTS
r 570281
DATE = TERMS
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` CURRENT OVER 30 DAYS OVER 60 DAYS
TOTAL AMOUNT
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VOUCHER NO. V—VA_BRAN_T_NO -
ALLOWED 20
Scott Osborne
IN SUM OF $
$84.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 570281 I 42-370.00 I $84.20 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
IAN 9
q!awl a
Fire Chief
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))
570281 $84.20
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