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��,�: � : CITY OF CARMEL, INDIANA VENDOR: 358201
d ONE CIVIC SQUARE. ALFA LAVAL ASHBROOK SIMON - HAReWK AMOUNT: $**'"'*"677.99'
CARMEL, INDIANA 46032 11600 EAST HARDY ROAD CHECK NUMBER: 230317
%M`rod.�O;= HOUSTON TX 77093 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 130319 677.99 OTHER EXPENSES
Alfa Laval Ashbrook Simon-Hartley Inc. Phone: 800-362-9041
11600 East Hardy Road Fax: 281-449-1324
Houston Texas 77093
USA
Invoice: 130319 INVOICE Page: 1 of 1
Date: 3/5/2014
Sold To: Ship To:
CITY OF CARMEL CARMEL WWTP SEWER DEPARTMENT
9609 HAZELDELL PARKWAY 9609 HAZELDELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
USA USA
-
--SO--#:-84107 -
PO Number: S13903 Terms: NET 30 DAYS F.O.B: ORIGIN
Sales Rep: PAULA LYNCH Ordered: 3/4/2014 Ship Via: BESTWAY
Packing Slip: 30093 Ship Date: 3/5/2014
ATTN:JEFF COOPER
T:317-571-2634 x 222
THANK YOU FOR YOUR ORDER, ANY QUESTIONS PLEASE CALL 1-800-547-7273
ALL AMOUNTS SHOWN IN U.S.DOLLARS
Line Quantity 'Part NumberlDescription Revision. Un'it'Price Ext Price
Line(4) Miscellaneous Charges
Description Amount
1.) FREIGHT OUT 5.99
1 32.00 023307 0 21.00 EA 672.00
Sales Kit NOZZLE KIT, SPRAY SHOWERS MENASHA
-----------Kit Components-----------
Kit Seq. PartNum Description Qty. Per Parent Warehouse
Payment Schedule Total: 677.99 USD
` Due Date,., Arhount Remit To:
1 4/4/2014 677.99 Alfa Laval Ashbrook Simon-Hartley Inc.
Total 677.99 11600 East Hardy Road
Houston, Texas. 77093
Invoice: 130319
ARForm:001:00
VOUCHER # 137610 WARRANT # ALLOWED
358201 IN SUM OF $
ALFA LAVAL ASHBROOK SIMON - HAF
11600 EAST HARDY
HOUSTON, TX 77093
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
'i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
130319 01-7202-06 $677.99
Voucher Total $67799
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358201
ALFA LAVAL ASHBROOK SIMON - HARTLEY Purchase Order No.
11600 EAST HARDY Terms
HOUSTON, TX 77093 Due Date 3/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2014 130319 $677.99
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
Date Officer