HomeMy WebLinkAbout236620 09/03/14 CITY OF CARMEL, INDIANA VENDOR: 364677
CHECKAMOUNT: $*****1,477.50*
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ONE CIVIC SQUARE CLEAN EARTH SYSTEMS INCCARMEL, INDIANA 46032 15245 AMBERLY DRIVE CHECK NUMBER: 236620
TAMPA FL 33647 CHECK DATE: 09/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 53796 1,477.50 OTHER EXPENSES
Voice: (813) 930-6688 Invoice
Fax: 813 930-2530
( ) Invoice Number:
CleanEamln
` 53796
.............. .....6.0—1 .:11111 .,a Invoice Date:
S Y S T E M S, I N C.
Aug 19, 2014
15245 AMBERLY DRIVE Page:
Tampa, FL 33647-2155 1
USA
Sold To: Ship to:
City of Carmel HHW City of Carmel HHW
760 3rd Avenue 760 3rd Avenue
Attn: Bill Kelam Attn: Bill Kelam
Carmel, IN 46032 Carmel, IN 46032
Customer ID Customer PO Payment Terms
CITY0019 W. KELLAM081414 2% 15, Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
MW AVERITT 8/15/14 9/18/14
Quantity Item Description Unit Price Extension
50.00 D-30GOHPR AD 30G OR Poly Recon 24.75 1,237.50
Subtotal 1,237.50
Sales Tax
Freight 240.00
Total Invoice Amount 1,477.50
Check/Credit Memo No: Payment/Credit Applied
TOTAL, 1,477.50
VOUCHER # 145414 WARRANT# ALLOWED
364677 IN SUM OF $
CLEAN EARTH SYSTEMS INC
15245 AMBERLY DRIVE
TAMPA, FL 33647
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT I Audit Trail Code
1
I
53796 01-720H-08 $1,477.50
Voucher Total $1,477.50
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
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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
364677
CLEAN EARTH SYSTEMS INC Purchase Order No.
15245 AMBERLY DRIVE Terms
TAMPA, FL 33647 Due Date 8/28/2014
Invoice Invoice Description
Date Number (or note attached,invoice(s) or bill(s)) Amount
8/28/2014 53796 $1,477.50
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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
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Date Officer i