237378 09/23/14 CITY OF CARMEL, INDIANA VENDOR: 356599
ONE CIVIC SQUARE FRY'S ELECTRONICS CHECK AMOUNT: $**......14.75*
r. 4 CARMEL, INDIANA 46032 600 EAST BROKAW ROAD CHECK NUMBER: 237378
SAN JOSE CA 95112-1016 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5217547 14.75 OTHER EXPENSES
PLEASE REMIT TO: Date : 08/26/14 Store# : 43
EIECTRorUC5 600 East Brokaw Road
San Jose, CA 95112 Invoice # : 5217547
- (408) 487-4500
Amount Due : $14 . 75
PO INFORMATION
Number: 51014
Customer # : 66393 Terms : Net 30 days
ACCOUNTS PAYABLE Received By: LARRY SCHIMMEL
CARMEL WASTE WATER TREAITMENT PLANT
760 THIRD AVE . SW, SUITE 110
CARMEL, IN 46032
PLU Short Description Qty T Unit Price Extended Price
6469122 NTE 72-111 5-PAIR TEST 1 R 5 . 990 5 . 99
---- - - -3-065379 -PHILMORE PC245 - 1 R -- 2-. 2-9-9- — 2 . 29
3065379 PHILMORE PC245 1 R 2 . 290 2 . 29
5589690 PHILMORE 3015 KNOB 1 R 2 . 190 2 . 19
5588290 PHILMORE 3035 KNOB 1 R 1 . 990 1 . 99
SUBTOTAL: $14 . 75
TAX @0 . 0700 : $0 . 00
TOTAL: $14 .75
Attention: Accounts Payable
In order to correctly process payments, please write your Fry's customer number and invoice number(s)
being paid on each check, and mail to the following address: Fry's Electronics, Inc.
Accounts Receivable
600 E. Brokaw Road
San Jose, CA 95112-1016
Thank you for your cooperation, Fry's Accounts Receivable Department
ATTN: ACCOUNTS PAYABLE DEPT . Please Pay by 09/25/14
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
356599
FRY'S ELECTRONICS Purchase Order No.
600 E BROKAW ROAD Terms
SAN JOSE, CA 95112-1016 Due Date 9/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2014 5217547 $14.75
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
g l y l,,/ '---
Date Officer
VOUCHER # 145586 WARRANT # ALLOWED
356599 IN SUM OF $
FRY'S ELECTRONICS
600 E BROKAW ROAD
SAN JOSE, CA 95112-1016
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5217547 01-7202-06 $14.75
Voucher Total $14.75
Cost distribution ledger classification if
claim paid under vehicle highway fund