HomeMy WebLinkAbout230082 10/15/14 c! ,,• CITY OF CARMEL, INDIANA VENDOR: 368710
3; ONE CIVIC SQUARE CTL SCIENTIFIC SUPPLY CORP. CHECK AMOUNT: $********63.60*
:y ,a CARMEL, INDIANA 46032 1016-3 GRAND BOULEVARD CHECK NUMBER: 238082
M«oN DEER PARK NY 11729 CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467004 24634 42794 63.60 HAZ MAT SUPPLIES
CTL Scientific Supply Corp Invoice
1016-3 Grand Blvd
Deer Park, NY 11729 Date Invoice#
9/30/2014 422794
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL,IN 46032 CARMEL,IN 46032
S.O. No. P.O. No. Terms Account#
34880 24634 Net 30
Item Description Ordered Prev. Inv... Backor... Invoiced Rate Amount
HM-100 HAZMAT 3 item pack(F-100 Fluoride Test 1 0 0 1 56.60 56.60
Paper,90758 Potassium Iodide Starch
Paper,UNIV-114LD Universal 1-14 pH
paper)
Freight Char... Freight Charges 7.00 7.00
Total $63.60
Payments/Credits $0.00
Balance Due $63.60
Phone# Fax# Web Site
631-242-4249 631-242-4504 ctlscientific.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
CTL Scientific Supply Corp.
IN SUM OF$
1016-3 Grand Boulevard
Deer Park, NY 11729
I
$63.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
24634 42794 102-670.04 $63.60 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
OCT 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
42794 $63.60
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
, 20
Clerk-Treasurer