HomeMy WebLinkAbout235779 08/13/14 ��..�4q" CITY OF CARMEL, INDIANA VENDOR: 00352978
® ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $*******620.92*
?�; CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 235779
M��ruN�' CHICAGO IL 60673-1232 CHECK DATE: 08/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1578158 620.92 OTHER EXPENSES
INVOICE _ Page: of
ORIGINAL COPY '. _ _.._ Remittance Address<
CORRESPONDENCE TO _
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
WWW.CHEMSEARCHFE.COM
Sold To - '� .". �`� _ - �. .Ship To
Attn: ACCOUNTS PAYABLE Weare going green!
CITY OF CARMEL To pay electronically or
CITY OF CARMEL UTILITIES / OPERATIONS
UTILITIES / PLANT MAINTENANCE FOREMAN receive invoices via
3450 W 131ST ST PLANT MAINTENANCE 4915 E
WESTFIELD IN 46074 106TH ST emailorfax-
CARMEL IN 46033
simply contact us at
cac.credit@nch.com
Customer No. _Billing Date -_ Terms Due-Date Ship Date Sales Order=`°` j
441468 16-JUL-14 10 NET 26-JUL-14 16-JUL-14 1683117
aInvotce.Nn, —_,
_ _--._perchasc Order Nc� " -.::-
1578158 DAN071514C USFEF001 DUNSCOMB,Mr.JAMES L
Product t Qty Ordered rDescription Packaging]:. Billed . . Unit_Price Amount
12032731 1 MEND-CON RTU NOZZLES DZ 1.00 20.36 20.36
10075442 1 GREEN ADVANTAGE GLASS&PLASTIC CLEANER,CS/24,US GA CS 1.00 187.00 187.00
12047597 1 MEND-CON RTU W/DISPENSING GUN,DZ,US MM DZ 1.00 372.00 372.00
Merchandise State Tax „'�. Local:Tax.•- ` ' ., Shipping• SplitITN.No: .-,Cuccency `Total'Aniount-
579.36 0.00 0.00 41.56 USD 620.92
IN Tax ID#0003512371-001-3 Federal ID#75-0457200
CHEMSEARCH FE,DIVSION OF NCH CORPORATION.ALL RETURNS_CLAIMS FOR ERRORS OR AD.1_USTMENTS-OPANY MND.MUST-BE MADE
3THINl5 DAYS_nFiER RECEIPT OF GOODS.MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN CONSENT. K x
l DISTRIBUTION SERVICES INCLUDE SHIPPING&HANDLING CHARGES-F.O.B.INDIANAPOLIS.
VOUCHER # 141330 WARRANT# ALLOWED
I;
352978 IN SUM OF $
CHEMSEARCH
23261 NETWORK PLACE
CHICAGO, IL 60673-1232
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Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR i
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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1578158 01-6200-04 $620.92
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Voucher Total $620.92
Cost distribution ledger classification if
claim paid under vehicle highway fund
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Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
I
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 8/4/2014
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
8/4/2014 1578158 $620.92
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
C
orrect and I have audited same in accordance with IC 5-11-10-1.6
(e1 X
Date Officer