HomeMy WebLinkAbout235144 07/22/14 Tlhl
CITY OF CARMEL, INDIANA VENDOR: 00351475
ONE CIVIC SQUARE LANDSCAPE FORMS, INC CHECK AMOUNT: $*******500.00*
O CARMEL, INDIANA 46032 DEPT 78073 CHECK NUMBER: 235144
PO BOX 78000 CHECK DATE: 07/22/14
DETROIT MI 48278-0073
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 176360 500.00 REPAIR PARTS
Invoice
Invoice Date: 6/24/2014 Please remit to our lockbox:
LANDSCAPE FORMS,INC _
Reference/P.O.#: 37164 PO BOX 78000
Order#: 0000176360 DEPT.78073 JUN 2 7 2014
DETROIT,MICHIGAN 48278.0073 i
Invoice#: 0000063642 BY-
Project: Carmel Clay Parks-Rep! Parts --_
—J
Bill To: Carmel Clay Parks&Rec Dept Ship To: Carmel Clay-Parks Maintenance
Accounts Payable 1427 E 116th St
1411 E 116th St Attn:Courtney
Carmel, IN 46032 Carmel, IN 46032
Contact ACCOUNTS PAYABLE
Sipped: 6/24/2014 Ship Via: UPS Ship Track#:0000176360 Terms: NET 30 DAYS
Item: Qty Shp Unit Price: Total Price:
RE Orig Order 65508 for Carmel Central Park 1 0.000 0.00
Austin arm with hardware for freestanding/surface mount backed bench. Powdercoat color: Silver 2 105.000 210.00
Austin arm with hardware for freestanding/surface mount backless bench. Powdercoat color: Silver 2 95.000 190.00
*"ATTN PACKAGING/ASSEMBLY: DO NOT SKID!!!! NEED PACKAGED INDIVIDUALLY FOR UPS SHIPII 1 0.000 0.00
Shipping& Handling-UPS 1 100.000 100.00
*** Sales tax,if applicable,has been added to this invoice unless we have received a tax-exempt certificate. If purchaser is indeed tax exempt,please submit certificate with payment.
*** Purchaser shall pay all costs and expenses paid or incurred by Seller in collecting any amounts due for goods purchased by Purchaser,including without limitation,reasonable
attorneys'fees and collection costs. Balances on invoices not paid within thirty(30)days of dale of invoice or within an alternate period of time as determined and indicated by Seller,
shall incur interest at a rate of eighteen percent(18%)per annum.No cash discounts shall be allowed.
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►12�-- �+-cel-- ��'��000
Subtotal -- 500.00
Sales Tax 0.00
Payment/CreditAmount 0.00
Balance Due:USD 500.00
Page: 1
FOR OFFICE USE Landscape Forms,Inc.Corporate Address:
431 Lawndale Avenue
Cust M 67034 Kalamazoo,MI 49048-9543
Sales: lrj PH:800/521-2546 FX:269/381-3455
Federall.D.# 38-1897577
GST#:894246792 RT0001
Dun#04-923-8363
FSC#:RA-COC-001261
land .�' t
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Landscape Forms, Inc. Terms
P.O. Box 78000
Dept. 78073
Detroit, MI 48278-0073
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/24/14 176360 Arms for Central Park bench repairs 37164 $ 500.00
Total $ 500.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
I
Landscape Forms, Inc. I Allowed 20
P.O. Box 78000
Dept. 78073
Detroit, MI 48278-0073 In Sum of$
$ 500.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or
Dept
INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
37164 F 176360 4237000 $ 500.00 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
i which charge is made were ordered and
received except
i
f 16-Jul 2014
i
j
Signature
$ 500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund