HomeMy WebLinkAbout239563 11/25/14 (' '• CITY OF CARMEL, INDIANA VENDOR: 00351475
} ONE CIVIC SQUARE LANDSCAPE FORMS, INC CHECK AMOUNT: $w 75.00
x� ,a CARMEL, INDIANA 46032 DEPT 78073 CHECK NUMBER: 239563
9•,;�T�N�� PO BOX 78000 CHECK DATE: 11/25/14
DETROIT MI 48278-0073
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 67673 75.00 EQUIPMENT REPAIRS & M
Invoice
Invoice Date: 11/7/2014 Please remit to our lockbox:
LANDSCAPE FORMS,INC
Reference/P.O.#: XX-1325 PO BOX 78000
Order M 0000184554 DEPT.78073
Invoice#: 0000067673
DETROIT,MICHIGAN 48278-0073
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Project: Carmel Clay Parks-Repl Parts
Bill To: Carmel Clay Parks&Rec Dept Ship To: MCC-West NOV. 10 2014
Accounts Payable 1235 Central Park Dr East �$r,
1411 E 116th St Attn:Jim Ransford
Carmel, IN 46032 Carmel,IN 46032
Contact: Accounts Payable
Sipped: 11/7/2014 Ship Via: UPS Ship Trackit: 1Z8W184YO345907425 Terms: NET 30 DAYS
Item: - Qty Shp Unit Price:, Total Price:
Presidio litter replacement foot latch. Includes washer and snap ring. 4 15.000 60.00
Shipping-&-Handling--UPS- - - - 1 15.000 __ 15.00
*** Sales tax,if applicable,has been added to this invoice unless we have received a tax-exempt certificate. If purchaser is indeed tax exempt,please submit certificate with payment.
*** Purchaser shall pay all costs and expenses paid or incurred by Seller in collecting any amounts due for goods purchased by Purchaser,including without limitation,reasonable
attorneys'fees and collection costs. Balances on invoices not paid within thirty(30)days of date of invoice or within an alternate period of time as determined and indicated by Seller,
shall incur interest at a rate of eighteen percent(18%)per annum.No cash discounts shall be allowed.
Subtotal 75.00
Sales Tax 0.00
Payment/Credit Amount 0.00
Balance Due:USD 75.00
Page: 1
FOR OFFICE USE: Landscape Forms,Inc.Corporate Address:
431 Lawndale Avenue
Cust#: 67034 Kalamazoo,MI 49048-9543
Sales: Inj PH:800/521-2546 FX:269/381-3455
Federal I.D.#38-1897577
GST#:894246792RT0001
Dun#04-923-8363
FSC#:RA-COC-001261
[andscapeform!�
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day,number of hours, rate perhour, number of units, price per unit,.etc. _
Payee
Purchase Order No.
Landscape Forms, Inc. Terms
P.O. Box 78000
Dept. 78073
Detroit, MI 48278-0073
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO## Amount
1.1/7/14 _ 67673_ _ Trash can replacement xx1325 $ 75.00_
Total $ 75.00:
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
120_
Clerk-Treasurer
Voucher No. Warrant No. .
Landscape Forms, Inc. Allowed 20 .
P.O. Box 78000
Dept. 78073 i
Detroit, MI 48278-0073 In Sumof$. .
$ 75.00"
ON ACCOUNT OF APPROPRIATION FOR
109 :Monon Center
PO#or Board Members
Dept INVOICE NO: ACCT#/TITL AMOUNT
1.093,.._ 67673, 4350000 $ 75.00 �: 1 hereby certify that the attached-invoice(s), or
bill(s)is(are)true and correct and that the
materials orservices itemized thereon for
which charge is made were ordered and
received except
20-Nov 2014
Signature
$ 75.00 Accounts Payable.Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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