HomeMy WebLinkAbout237524 09/23/14 JY CITY OF CARMEL, INDIANA VENDOR: 358338
ONE CIVIC SQUARE RUMFORD INDUSTRIAL GROUP CHECK AMOUNT: S********78.00*
f� _�; CARMEL, INDIANA 46032 3250 W TECH ROAD CHECK NUMBER: 237524
+,,,.,._, MIAMISBURG OH 45342-4880 CHECK DATE: 09/23/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 65617 78.00 OTHER EXPENSES
Rumford
INDUSTRIAL GROUP
3250 W.Tech Road I Miamisburg,OH 45342-4880
937 435 4650 1 800 336 2827 1 Fax:937 435 3242
Email:Office@rumfordgroup.com I rumfordgroup.com
o INVOICE
Bill To Ship To
City of Carmel Carmel Water Treatment-Plant 1
Attn: Kerri Loveall Attn: Brian Tolan
Water Utilities 4915 E. 106th St.
3450 W. 131st St. Carmel, IN 46033
Westfield, IN 46074
P.O. Number Salesman Invoice No. Date SIC Codes JOB LOC Customer No.
BT091214A 1035 65617 9/15/2014 4940 13537
Quantity Code Description U/M Unit Price Extension
1 717G Belzona 9111 (Cleaner Degreaser) 1 pint ea 58.00 58.00
1 Freight UPS Ground LTD QTY 20.00 20.00
Mark Package: Plant 1 -Tolan
Subtotal $78.00
Sales Tax (7.0%) $0.00
A SERVICE CHARGE OF 1'/2%PER MONTH WILL BE CHARGED ON ALL OUTSTANDING Pay This Amount $78.00
BALANCES OVER FIFTEEN (15) DAYS. TERMS: NET 15 DAYS, F.O.B. Springboro, Ohio
TERMS AND CONDITIONS OF SALE
The Seller sells the products and materials as described on the face hereof subject to the terms and conditions as
specified on its most current Price List and on the Customer Order Form signed by the Buyer.Any additions to
or modifications of these terms and conditions shall be subject to approval in writing by Seller.Any additional or
different terms and conditions submitted in Buyer's purchase order shall not apply and the terms and conditions
stated on the Price List and on the Customer Order Form shall control. OLOW
- - -_ - - --- --- - -- - - - - - a BELZ NA- --
"Strong,proven products for solutions that last." Repair•Protect•Improve
VOUCHER # 141844 WARRANT# ALLOWED
358338 IN SUM OF $
RUMFORD INDUSTRIAL GROUP
3250 W TECH ROAD
MIAMISBURG, OHIO 45342-4880
Carmel
Water Utility ,
ON ACCOUNT OF APPROPRIATION FOR `
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
65617 01-6200-04 $78.00
Voucher Total $78.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
II
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
358338
RUMFORD INDUSTRIAL GROUP Purchase Order No.
3250 W TECH ROAD Terms
MIAMISBURG, OHIO 45342-4880 Due Date 9/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2014 65617 $78.00
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
Date Officer