HomeMy WebLinkAbout233113 05/28/14 �A
;g \ CITY OF CARMEL, INDIANA VENDOR: 00353191
j ONE CIVIC SQUARE ROAD SOLUTIONS INC CHECK AMOUNT: S•"'"2,204.50'
CARMEL, INDIANA 46032 PO BOX 6457•DEPT#274 CHECK NUMBER: 233113
°NITON�o INDIANAPOLIS IN 46206 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 0092629-IN 2,204.50 SPECIAL DEPT SUPPLIES
Remit to:
Invoice P.O. Box 6457-Dept.#274
Indianapolis, IN 46206
Correlated Products, Inc. Invoice Number: 0092629-IN
Road Solutions, Inc. Invoice Date: 5/20/2014
5616 Progress Road Customer Number: 9903100
P.O. Box 42387
Indianapolis, IN 46242-0387
Sold To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST STREET 3400 W. 131ST STREET
ATTN: DAVE HUFFMAN ATTN: DAVE HUFFMAN
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Customer P.O. Ship VIA Terms
NET 15 DAYS
Ordered Shipped Back Ord Unit Item Code Description Price Amount
1 1 0 DR 1295-055 CL-ION-X 1,097.25 1,097.25
1 1 0 DR 1268-055 CHLORIDE FREE 1,042.25 1,042.25
NEW REMIT TO ADDRESS
P.O. BOX 6457-DEPT.#274
INDIANAPOLIS, IN 46206
Net Invoice: 2,139.50
Freight: 65.00
Sales Tax: 0.00
Invoice Total: 2,204.50
VOUCHER NO. WARRANT NO.
ALLOWED 20
Road Solutions
IN SUM OF$
P.O. Box 6457-Dept. #274
Indianapolis, IN 46206
$2,204.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 0092629-IN I 42-390.11 I $2,204.50 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
UWr h. 2014Cd1 1
Street e
Street Commissioner
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))
05/20/14 0092629-IN $2,204.50
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