229945 03/12/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00353168
ONE CIVIC SQUARE GREAT LAKES CHLORIDE CHECK AMOUNT: S""""4,462.97"
CARMEL, INDIANA 46032 895 E 200 N CHECK NUMBER: 229945
WARSAW IN 46582 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236500 0049318IN 4,462.97 SALT & CALCIUM
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INVOICE
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/ GREAT LAKES CHLORIDE, INC. INVOICE NUMBER: 0049318-IN
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| 895 E. 200 NORTH
| WARSAW, IN 46582 INVOICE DATE: 3/5/2014
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(877) 750-3878
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CITY OF CARMEL � CUSTOMER NO:
| STREET DEPT CUSTOMER P O:
3400 W 31ST STREET TERMS: NET 30 DAYS
West+ield , IN 46074
iALES
CODE
DESCRIPTION UNITS QUANTITY PRICE AMOUNT `
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�N INHIBITED CALCIUM CHLORIDE GAL 4601 . 060 0. 970 4462. 97
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NET INVOICE-. 4462. 97
FREIGHT- 0.00
SALES TAX: 0. 00
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INVO'ICE TOTAL 4462. 97
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Great Lakes Chloride, Inc
IN SUM OF $
895 E. 200 North
Warsaw, IN 46582
$4,462.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 0049318-IN I 42-365.001 $4,462.97 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
0 rid arch 07, 2014
Street Commis ner
Stn'-'pt r: 1missi®ner
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))
03/05/14 0049318-IN $4,462.97
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