HomeMy WebLinkAbout228561 1 /28/2014 », CITY OF CARMEL, INDIANA VENDOR: 360022 Page 1 of 1
ONE CIVIC SQUARE THE HOOSIER CO INC CHECK AMOUNT: $780.75
CARMEL, INDIANA 46032 P 0 Box 681064
INDIANAPOLIS IN 46266
CHECK NUMBER: 228561
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 72171 780 . 75 REPAIR PARTS
® The Hoosier Co., Inc.
i P.O. BOX 681064
INDIANAPOLIS, IN 46268
i , (317) 872-8125 FAX(317) 872-7183
Invoice 72171
Bill to: Job: 237541
CITY OF CARMEL CARMEL ST. DEPT.
3400 W. 131ST ST.
WESTFIELD, IN 46074
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Invoice#: 72171 Date: 01/21/14 Customer P.O. #: SHOP
Payment Terms: UPON RECEIPT Salesperson:JOSH COULTER
Customer Code: 915
Remarks: ATTN: ERIC RUSSELL
®- e oNOW
FINNORWR MOIN: - - •
3.00 TRACC NOSEPIECE YELLOW EA 260.25 780.75
0.00 6531 B 0.00 0.00
Subtotal: 780.75
Total: 780.75
Less Retention:
Current Due: 780.75
CREDIT REGULATIONS: 1 1/2% Interest Per Month On Past Due Accounts
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Hoosier Co., Inc.
IN SUM OF $
P. O. Box 681064
Indianapolis, IN 46268
$780.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 72171 I 42-370.001 $780.75 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
t, Fri January 24, 2014
et Street tOt7 M1,,;,inn tsioner
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))
01/21/14 72171 $780.75
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