HomeMy WebLinkAbout239981 12/09/14 tl'gip" CITY OF CARMEL, INDIANA VENDOR: 368887
`7`� �. CHECK AMOUNT: $*****1,021.65*
.j; ® � ONE CIVIC SQUARE GRAHAM FEED COMPANY
9; _� CARMEL, INDIANA 46032 200 VOORHEES ST CHECK NUMBER: 239981
M�roN�, TERRE HAUTE IN 47802 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 72868 1,021.65 OTHER EXPENSES
3
GRAHAM FEED COMPANY -..
200 VOORHEES ST.
TERRE HAUTE, IN 47802
(812) 235-4444
Date: 11/28/14 Inv.No.: 72868
Due Date: 12/29/14 Page No.: 1
Ship To/Remarks
CARMEL UTILITIES WWTP
DUANE JARVIS
9609 HAZEL DELL PKWY
CARMEL IN 46280
REFERENCE TERMS YOUR# OUR# SALES REP
99000 _.....e - 000007_E3.53�_-__,�....
REFERENCE MEASURE QUANTITY UNIT PRICE -EXTENDED PRICE
50#TURBO - (ICE.MELTER) -IND; 147.0 147.0 6.9500 1021.65.
3 PALLETS
PAST DUE ACCOUNTS SUBJECT ` ' 1021.65
TO 1 1/2% SERVICE CHARGE0.00
PER MONTH. THIS IS AT THE 1021 .65
RATE OF 18% PER ANNUM.
1021.65
FORM#SC2124 tabco Business Forms Inc.-Terre Haute,IN 1(800)359-2309
VOUCHER # 146105 WARRANT # i ALLOWED
368887 IN SUM OF $
GRAHAM FEED COMPANY
200 VOORHEES STREET
TERRE HAUTE, IN 47802
Carmel Wastewater Utility j
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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72868 01-7202-06 $1,021.65
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Voucher Total $1,021.65 i
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
368887
GRAHAM FEED COMPANY Purchase Order No.
200 VOORHEES STREET Terms
TERRE HAUTE, IN 47802 Due Date 12/3/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/3/2014 72868 $1,021.65
1
1
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
