HomeMy WebLinkAbout239048 11/11/14 `�'v4A,,F. CITY OF CARMEL, INDIANA VENDOR: 358402
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.�; ONE CIVIC SQUARE IDS CHECK AMOUNT: $ 348.30
9: ,?� CARMEL, INDIANA 46032 2717 TOBEY DRIVE CHECK NUMBER: 239048
y�«OX.�, INDIANAPOLIS IN 46219 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 152191 348.30 SPECIAL DEPT SUPPLIES
■
800-800-0665 I nvoice
317-545-0670 Fax
2717 Tobey Dr. Customer No.: CITCAR-IN
Indianapolis, IN 46219 Invoice No.: 152191
Bill To:City of Carmel Street Dept. Ship To: City of Carmel Street Dept.
3400 W. 131 st Street 3400 W. 131 st Street
Westfield, IN 46074 Westfield, IN 46074
Date Ship Via F.O.B. I Terms
10/30/14 Will call Origin Net 30 I
—Pur-chase OFrdd-r-NU ibex —j -`Order Date - —Account Representative i Our Order Number
Keystone Arrows 10/29/14 John Heinzelman 69614
Quantity
Requiredl Shipped B.O. Item Number Description Unit Price Amount
Attn: Boyd
-------- -------------------
30 30 CS20/40 20/40 Coal Slag 11.6100 348.30
(100/lbs per bag)
Invoice subtotal 348.30
Invoice total 348.30
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SEE WARNING ON REVERSE SIDE OF THIS DOCUMENT. THANK YOU FOR YOUR BUSINESS.
THE SAN,DBLASTING.)SITE--YOU" HAV-E'� BEEN'
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Product.�h-'O' tos -Literature Is Equipmenl,ol Parts & Supplies
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AWARNINGA
These products and equipment are not under any circumstances to be used with sand or silica products of any type and use of such materials
will void any warranty.Also,as with the use of any product or equipment you must be sure to use the proper safety equipment and to properly
train your employees in the use of any equipment or products.The manufacturer,wholesaler and distributor assume no responsibility arising
from the failure to use proper safety equipment or the failure to properly train employees in the use of products and equipment.
VOUCHER NO. WARRANT NO.
ALLOWED 20
IDS Blast
IN SUM OF$
2717 Tobey Drive
Indianapolis, IN 46219
$348.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 152191 42-390.11 $348.30 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
Ua"Friday r 0 , 2 1
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
' I
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))
10/30/14 152191 $348.30
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