HomeMy WebLinkAbout236952 09/10/14 a u�'£�qy
t�� CITY OF CARMEL, INDIANA VENDOR: 365719 t t*****M
.�; ONE CIVIC SQUARE MOUSER ELECTRONICS
CHECK AMOUNT: $ 10.70
:'; CARMEL, INDIANA 46032 PO BOX 99319 CHECK NUMBER: 236952
°j.'��'ox�O' FORT WORTH TX 761990319 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 35795035 10.70 OTHER EXPENSES
MOUSER Please remit to:
ELECTRONICS Mouser Electronics,Inc. Original Invoice
P.O.Box 99319
Fort Worth TX 76199-0319 Invoice No. Invoice Date Page No.
1000 North Main Street,Mansfield,TX 76063
35795035 12-AUG-14 1 of 1
Sales Rep: Mary Theisen
Sales: 800-346-6873
Credit: (800)333-9924 *Reference Number 1165344 Purchase Order No. Master Tracker No.
Federal ID#61-1520598 INCOTERMS:FCA Shipping Point 514227 19400110200928001521689
Buyer Name Ship Via Customer No. Terms Order Date
DUANE JARVIS IST CLASS MAIL 1165344 NET 30 12—AUG-14
CARMEL WASTE WATER CARMEL WASTE WATER
BIII .1
9609 HAZEL DELL PARKWAY Ship To 9609 HAZEL DELL PARKWAY
NORA, IN 46280 NORA, IN 46280
UNITED STATES UNITED STATES
Mouser Part Number
-- -- - - — -- - ------- —�—
Line Customer/MFG Part No. Quantity QuantityQuantity L n t Price — x�tend3Pnce
No. Description Ordered Shipped Pending USD USD
1 576-0453010.MR 5 5 0 1.740 8.70
MFG Part No:0453010.MR
Littelfuse Surface Mount Fuses
US HTS:8536100040 ECCN:EAR99 COOP
Merchandise Handling Freight TAX
Please pay this amount USD $10.70
8.70 0.00 2.00 0.00
Shipping Information
* IMPORTANT: Ir. order to process your payment correctly you must include the reference number and the invoice number when you submit your payment.
These are located at the top of this invoice.
Tracking Number(s)and Billed Weights
9400110200928001521689 1.00 lb
This order is subject to all terms and conditions displayed at:hfpY/Www.mouser.com/saleterms
VOUCHER # 145447 WARRANT# ALLOWED
365719 IN SUM OF $
MOUSER ELECTRONICS
PO Box 99319
Fort Worth, TX 76199
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
35795035 01-7202-06 $10.70
I
Voucher Total $10.70
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
i
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
365719
MOUSER ELECTRONICS Purchase Order No.
PO Box 99319 Terms
Fort Worth, TX 76199 Due Date 9/3/2014
Invoice Invoice Description
Date Number (or note attached;invoice(s) or bill(s)) Amount
9/3/2014 35795035 $10.70
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordancewithIG:p5-11-10-1.6
Date Officer