HomeMy WebLinkAbout235367 07/30/14 %' p''� CITY OF CARMEL, INDIANA VENDOR: 00352978
® ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $*******336.24*
bir'; CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 235367
�'a�oN'� CHICAGO IL 60673-1232 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1556819 336.24 OTHER EXPENSES
.E.r.s .._m INVOICE Page: 1 of 1
CORRESPONDENCE TO
ORIGINAL COPY Remittance Address
PO BOX 152170 CHEMSEARCHFE
IRVING TX 75015 REORDERS CALL #1-800-527-9921 23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO,IL 60673-1232
W W W.CHEMSEARCHFE.COM
Sold To Ship To
Attn: ACCOUNTS PAYABLE Attn: WELL 27 TOLAN We are going green!
CITY OF CARMEL CITY OF CARMEL To pay electronically or
WATER UTILITY WATER UTILITY receive invoices via
4915 E 106TH ST 4915 E 106TH ST
CARMEL IN 46033 CARMEL IN 46033 emailorfax-
simply contact us at
cac.credit@nch.com
Customer No. Billing Date Terms Due Date Ship Date Sales Order
510327 27-JUN-14 10 NET 07-JUL-14 27-JUN-14 1657612
Invoice No. Purchase Order No. Sales Rep.No. Sales Rep.Name
1556819 BT062314A USFEF001 DUNSCOMB,Mr.JAMES L
Product Qty Ordered Description I Packaging Qty Billed I Unit Price Amount
12047597 1 MEND-CON RTU W/DISPENSING GUN,DZ,US MM DZ 1.00 314.00 314.00
Merchandise State Tax Local Tax Y Shipping Split Inv.No. Currency Total Amount
314.00 0.00 0.00 22.24 USD 336.24
IN Tax ID#0003512371-001-3 Federal ID#.75-0457200
CHEMSEARCH FE,DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST BE MADE
-- WIT1{LAI 15 DAYS AF:cR RECEIPT OF GOODS.-MERCHANDISE NOT ACCEPTED FOR-CREDIT WITHOUT OUR PRIOR WR_I-TEN"CONSENT- -— — --"
VOUCHER # 141180 WARRANT# ALLOWED
352978 IN SUM OF $
CHEMSEARCH
23261 NETWORK PLACE
CHICAGO, IL 60673-1232
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1556819 01-6200-02 $336.24
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Voucher Total $336.24
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
352978
CHEMSEARCH Purchase Order No.
23261 NETWORK PLACE Terms
CHICAGO, IL 60673-1232 Due Date 7/21/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/2112014 1556819 $336.24
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
Date Officer