HomeMy WebLinkAbout238772 11/05/14 4• CITY OF CARMEL, INDIANA VENDOR: 029100
ONE CIVIC SQUARE BREHOB CORPORATION CHECK AMOUNT: $***'***480.00*
4� q CARMEL, INDIANA 46032 1334 S MERIDIAN ST CHECK NUMBER: 238772
PO BOX 2023 CHECK DATE: 11/05/14
INDIANAPOLIS IN 46206-2023
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 637803 480.00 OTHER EXPENSES
INDIANAPOLIS
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Orchob -ORIGINAL AGEINIOICE CINCINNATI
DETROIT
FORT WAYNE
Electric-Air Compressor- Crane & Hoist LOUISVILLE
COLUMBUS
PO Box 2023 ELKHART
Indianapolis, IN 46206-2023 (317)231-8080
www.brehob.com
Sold CITY OF CARMEL UTILITIES Ship CITY OF CARMEL UTILITIES
to ATTN: A/P to 9609 N. RIVER RD.
760 3RD AVE., SW #110 INDIANAPOLIS, IN
CARMEL, IN 46280-0000
46032-0000
JEFF COOPER 716-5882
JOB NO. SO# INVOICE DATE INVOICE NO.
W129141 03 69867200 10/28/14 CITCA 637803
DATE ENTERED CUST.ORDER NO. SAJISHIPMS:LESMAN SHIPMENT REQUESTED TERMRO.B.W111W*
10/07/14 514286 310 11/06/14 OUR SERVICE 10/16/14 - NET 30
SHIPPED DESCRIPTION UNIT PRICE EXTENDED PRICE
HOIST INSPECTIONS
SEND INSPECTOR TO COMPLETE ANNUAL
INSPECTIONS FOR OCT 2014 CUSTOMER TO
PROVIDE LIFT
COMPLETED ANNUAL INSPECTIONS PER QUOTE
QUOTED 480.00
THANK YOU FOR YOUR ORDER
BILL BROWN
INVOICE TOTAL 480.00
'Past Due Invoices are subject to a service charge of 1''/2%per month.Our permission must be obtained before returning merchandise to us. Thank You!
Acceptance of Brehob's product or services shall be deemed to constitute an agreement on the part of the Buyer to the terms and conditions set forth on the reverse side of this document which
supersede all previous agreements.The terms and conditions stated herein shall take precedence over any other conditions and no contrary,additional or different conditions shall be binding on Brehob
unless accepted by Brehob in writing.
VOUCHER # 145840 WARRANT # ALLOWED
29100 IN SUM OF $
BREHOB CORPORATION
1334 S MERIDIAN ST
PO BOX 2023
INDIANAPOLIS, IN 46206-2023
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
637803 01-7362-06 $480.00
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Voucher Total $480.00
Cost distribution ledger classification if
claim paid under vehicle highway fund d
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
29100
BREHOB CORPORATION Purchase Order No.
1334 S MERIDIAN ST Terms
PO BOX 2023 Due Date 10/29/2014
INDIANAPOLIS, IN 46206-2023
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201, 637803 $480.00
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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