231371 04/08/14 CITY OF CARMEL, INDIANA VENDOR: 00352793
® it ONE CIVIC SQUARE QUEST ENVIRONMENTAL SAFETY PRO QWCK AMOUNT: $"****1,592.00*
fQ CARMEL, INDIANA 46032 9892 E 121ST ST CHECK NUMBER: 231371
9'"�.oN�.` FISHERS IN 46038 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 3018606 1,592.00 OTHER MAINT SUPPLIES
INVOICE
Eouiro�me�Ial 6 Sa(ef Products Inc,
9892 East 121st Street INVOICE r� —____--_-____—_—______— —I
Fishers, Indiana 46037 3018606
PH: (317)594-4500 LFQp / D Inv Date 1-�— Page
(800)878-4872 --- -----------
2/12/2014 I 1 of 1 j
FX: (317)594-4501 ORDER NUMBER
-- ---------1015251 ------=—I
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC.SQUARE
Carmel, IN 46032 Carmel, IN 46032
Ordered By: Mr. Mike Kalogeros
Customer ID: 11317
PO Number Fed I.D. Terms Description Net Due Date
1202MK #35-1797030 Net 30 3/14/2014
Order Date Pick Ticket No Primary Salesrep Name Taker
12/2/2013 11:29:32 2017321 PHARMA CSR SUSANP
Carrier Customer Pickup Tracking#
Ordered I ShippedI e/O U/M D Item/D Unit Extended
Item Description Price Price
Shipping Instructions: Customer Pickup
40 40 0 RL TM35U100 39.8000 1,592.00
33 X 50 Black 4mil Unprinted-35 Gallon
30 rolls per skid, 5 layers of 6 rolls
Taal Lines: I SUB-TOTAL: 1.592.00
TAX: 0.00
— �-- - - - AMOUNTDUE.• 1,592.00
Thank You for Your Business!
EACCOun
MainLSnc
Submitted To �#
-APR
ORIGINAL
VOUCHER NO. WARRANT NO.
QUEST ALLOWED 20
IN SUM OF $
9892 East 121 st Street
Fishers, IN 46037
$1,592.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 3018606 I 42-389.00 I $1,592.00 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
Wednesday, April 02, 2014
Director, Administration
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))
02/12/14 3018606 $1,592.00
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