HomeMy WebLinkAbout228649 1/28/2014 F CITY OF CARMEL, INDIANA VENDOR: 00351442 Page 1 of 1
ONE CIVIC SQUARE O'MALIA'S FIREPLACE SHOP, INC
CHECK AMOUNT: $556.00
CARMEL, INDIANA 46032 115 MEDICAL DR
CARMEL IN 46032 CHECK NUMBER: 228649
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 54126 556 . 00 BUILDING REPAIRS & MA
"' 1 ATEMEN LI
FIREPLACE & OUTDOOR LIVING DATE
115 MEDICAL DRIVE ,
CARMEL, IN 46032 NUMBER �412 6
317-6"-6612 - 3 , a C)
' a to 4
TERMS:
PLEASE DETACH AND RETURN WITH YOUR REMITTANCE
DATE CHARGES AND CREDITS BALANCE
BALANCE FORWARDAx D
0
Youracco A Is SERIOUSLY overdue. '
�ULlrI
DUPLICATE
PAY LASTNT
IN THIS COLUMN
VOUCHER NO. WARRANT NO.
ALLOWED 20
O'Malia's Fireplace & Outdoor Living
IN SUM OF $
115 Medical Drive
Carmel, IN 46032
$556.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 j 54126 I 43-501.00 I $556.00 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 JAH
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))
54126 Move Sta.44 Gas Line $556.00
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