HomeMy WebLinkAbout23b842 9 /10/2014 �' ��p"' CITY OF CARMEL, INDIANA VENDOR: 365417
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® 'I ONE CIVIC SQUARE GLENROCK COMPANY CHECK AMOUNT: $**.....101.00*
�. ?� CARMEL, INDIANA 46032 4330 HULL ST STE 300 CHECK NUMBER: 236842
+.y�_roN,�o; INDIANAPOLIS IN 46226 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 1234202 101.00 CEMENT
INVOICE
Remit to: i� INVOICE NUMBER
Glenrock Company
P.O. Box 95279 1234202
Palatine, IL 60095 UL ANF®C Invoice Date Page
630-530-9600 9/2/2014 11:24:28 1 1 of 1
Company ORDER NUMBER
1261004
Bill To: Ship To:
City of Carmel/Street Department City of Carmel/Street Department
3400 W. 131st Street WILL CALL
Carmel, IN 46074 IN
Customer ID: 15998
PO Number Terms Description Net Due Date Primary Salesrep Name
]
shop Net 30 10/02/14 Account House Indiana
Order Date Pick Ticket No Carrier Taker
8/29/2014 08:16:12 1260529 WILL CALL-CUSTOMER P/U SCRISWELL
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining Item Description Unit Size Price Price
2.00 2.00 0.00 3611260RU UNT 50.50 101.00
IMCO 1260 MG KRETE REG BAG 50LB& 1 GAL 1
Total Lines:I SUB-TOTAL: 101.00
TAX. 0.00
AMOUNT DUE: 101.00
YOU CAN ALSO CHECK US OUT ONLINE AT:
www.GlenrockCompany.com
ORIGINAL
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/02/14 1234202 $101.00
1 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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Glenrock Company
IN SUM OF $
P. O. Box 95279
Palatine, IL 60095
$101.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1234202 I 42-362.001 $101.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Fri S tuber 05, 2014
I# SAA
Street Commis ner
Street�nmmissinnar
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund