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236567 08/27/14 4�W"C�q�f v/ 4� CITY OF CARMEL, INDIANA VENDOR: 367804 g ONE CIVIC SQUARE WESTECH ENGINEERING INC CHECK AMOUNT: $*******185.1 1* s �jo CARMEL, INDIANA 46032 PO BOX 65068 CHECK NUMBER: 236567 +.�y�«oN�'� SALT LAKE CITY LIT 84165-0068 CHECK DATE: 08/27/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 52292 185.11 OTHER EXPENSES Invoice No.: 52292 WESTOECM Invoice Date: 07/28/14 P.O'. BOX 65068 Customer P.O. No.: JM71414-B SALT'LAKE CITY, UTAH 84165-0068 Customer Job No.: Tel:801-265-1000 Fax:801-265-1080 Job ID: 118878- ar@westech-inc:com Job Name: CARMEL IN Customer Account No.: CAR031 INVOICE Payment Terms: NET 30 DAYS Bill CITY OF CARMEL Ship to: CITY OF CARMEL to: ATTN`-ACCOUNTS PAYABLE 4915 E 106TH STREET 3450 W 131st STREET CARMEL, IN. 46074 CARMEL, IN 46074 UNITED STATES OF AMERICA UNITED STATES OF AMERICA B LAC item-.No —._ _:Description Unit Price: _Net:Amount__ 2. 20"BUNA OANG GASKET $38.00 $76.00 2 24" BUNA O-RING GASKET $50.00 $100.00 1 FREIGHT VIA UPS $9.11 $9.11 VIA WIRE TRANSFER ACCOUNT NO:4945003200 Subtotal: $185.11 WESTECH ENGINEERING,INC ABA ROUTING NO:121000248 C(O WELLS FARGO-BANK SWIFT:WFBIUS6S SALT LAKE CITY,UTAH 84111 Taxes: Total- US DOLLARS $185.11 acc_ougts not-paid after invoice due date will be charoed a finance charge of 1 1!2%per month which is an annual r eof 18W0_- All- _ � - - - - Customer agrees to pay all cost and expenses;including reasonable attorney's fees_and_court cost incurred incase of default in with terms. VOUCHER# 141325 WARRANT# ALLOWED 367783 IN SUM OF $ WESTECH ENGINEERING INC 3663 S. WEST TEMPLE SALT LAKE CITY, UT 84115 'I Carmel Water Utility r ON ACCOUNT OF APPROPRIATION FOR ii Board members PO# INV# ACCT# AMOUNT i Audit Trail Code 52292 07-1052-14 $185.11 I i I I I( II II I I 1 Voucher Total $185.11 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 367783 WESTECH ENGINEERING INC Purchase Order No. 3663 S. WEST TEMPLE Terms SALT LAKE CITY, UT 84115 Due Date 8/4/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/4/2014 52292 $185.11 i I 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 J&I'Oel Date T v Offi er