HomeMy WebLinkAbout239360 11/19/2014 CITY OF CARMEL, INDIANA VENDOR: 358894
ONE CIVIC SQUARE SAFELITE AUTOGLASS CHECK AMOUNT: $*******515.70*
s. ?� CARMEL, INDIANA 46032 PO BOX 633197 CHECK NUMBER: 239360
bM- ' CINCINNATI OH 45263-3197 CHECK DATE: 11/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 01830224129 272.85 OTHER EXPENSES
651 5023990 01830224130 242.85 OTHER EXPENSES
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SAFELITE FULFILLMENT,INC. Reprint Date: 06-Nov-2014
dba: Safelite AutoGlass Invoice No: 01830224129
Work Order: 601632
Purch Order: S178
Invoice Date: 01-Aug-2014
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Please mail payment to: Invoice Total: 272.85
Safelite Fulfillment, Inc. Payments and Credits: 0.00
PO Box 633197 Current Balance: 272.85
Cincinnati, OH 45263-3197 As of Date: 06-Nov-2014
Payment Terms: 30 NET
TIN No: 36-4523816 Payment Due Date: 31-Aug-2014
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If-you have questions regarding payment of this CARMEL,
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invoice, please call: 1-800-835-2092 WASTE WATER TREATMENT PLANT
9609 HAZEL DELL PKWY
Customer_ServiceJCenter:J 8__00INDIANAP_QLIS�IN�46280- - •
SAFELITE FULFILLMENT, INC. Reprint Date: 06-Nov-2014
dba: Safelite AutoGlass Invoice No: 01830224130
Work Order: 601633
Purch Order: S14177
Invoice Date: 01-Aug-2014
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Please mail payment to: Invoice Total: 242.85
Safelite Fulfillment, Inc. Payments and Credits: 0.00
PO Box 633197 Current Balance: 242.85
Cincinnati, OH 45263-3197 As of Date: 06-Nov-2014
Payment Terms: 30 NET
TIN No: 36-4523816 Payment Due Date: 31-Aug-2014
Shop To CARMEL, CITY OF
If you have questions regarding payment of this VtfASTE WATER TREATMENT P
invoice, please call: 1-800-835-2092
(�� ,,INDIANAPO_LYS IN„462$0 Address
Customer Service Center: 1-800-835-2257 ����
VOUCHER # 145989 WARRANT # ALLOWED
358894 IN SUM OF $
SAFELITE FULFILLMENT, INC.
PO BOX 633197
CINCINNATI, OH 45263-3197
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
01830224129 01-7502-06 $272.85
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Voucher Total7�'8�
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358894
SAFELITE FULFILLMENT, INC. Purchase Order No.
PO BOX 633197 Terms
CINCINNATI, OH 45263-3197 Due Date 11/13/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/13/201, 0183022412 $272.85
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