HomeMy WebLinkAbout229554 2/25/2014 +ti CITY OF CARMEL, INDIANA VENDOR: 00350856 Page 1 of 1
ONE CIVIC SQUARE LEHIGH SAFETY SHOES
'.� CHECK AMOUNT: $141.74
CARMEL, INDIANA 46032 PO BOX 644755 PITTSBURG PA 15264
CHECK NUMBER: 229554
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9350000 141 . 74 OTHER EXPENSES
Lehigh Outfitters,LLC
s 39 East Canal Street
t' Nelsonville,Ohio 45764
www.Lehigh On tfitters.co m
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INVOICE
Sold To: 085893 000 snip To: 085893 000
CARMEL WATER&WASTEWTR CARMEL WATER&WASTEWTR
TREATMENT PLANT TREATMENT PLANT
760 3RD AVE. SW 9609 HAZEL DELL PKWY
CARMEL,IN 46032 317-571-2634
USA INDIANAPOLIS
- - Invoice# nvoice - -Customer's Number ::abile-Unit - - - — Tern-is --
Date
350000 1/20/14 CALVIN YEARLY NET 030 DAYS
Sales Employeenit Merch Adj Sales Line Cash Company Employee
Slip Employee ID Name Department Style W Sze Qty Price Amt Amt Tax Frt Total Recv Subsidy Bal Due Ded
026389 MALLABER,BLAINE FQ0006639 W 10 1 157.49 157.49 15.75 .00 .00 141.74 .00 141.74 .00
-Summary
--Total-Qty —Total—Merchandise-- Adjustment Sales 1''a; Sery-Fce- Freight Cash-Rec Company-Subsidy"-- Ainotint-Dutj -
1.0 157.49 15.75 .00 .00 .00 .00 141.74 141.74
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - --- - -
cut here
Please detach this portion and return
to ensure proper credit with remittance.
Invoice Order Invoice Customet
Number Customer PO No. Number Date Number Terms
9350000 CALVIN YEARLY 5335896 1/20/14 085893 1 NET 030 DAYS
Please Return With Payment To: Payment Received By 2/19/14 Amount Due 141.74 USD
Lehigh Outfitters,LLC
P.O.Box 644755 Amount Enclosed
PITTSBURGH,PA.15264-4755
08589393500000120140000000000141741
RETINV
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350856
LEHIGH OUTFITTERS, LLC Purchase Order No.
P.O. Box 644755 Terms
Pittsburgh, PA 15264-4755 Due Date 2/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2014 9350000 $141.74
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
�Llll
Date IV,
icer
VOUCHER # 137430 WARRANT # ALLOWED
350856 IN SUM OF $
LEHIGH OUTFITTERS, LLC
P.O. Box 644755
Pittsburgh, PA 15264-4755
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9350000 01-7200-02 $141.74
t
Voucher Total $141.74
Cost distribution ledger classification if
claim paid under vehicle highway fund