HomeMy WebLinkAbout241210 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 007000
d ONE CIVIC SQUARE ACORN DISTRIBUTORS INC CHECK AMOUNT: $**.....269.30*
1 CARMEL, INDIANA 46032 5820 FORTUNE CIRCLE DR.WEST CHECK NUMBER: 241210
INDIANAPOLIS IN 46241 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 I205041-00 269.30 OTHER MAINT SUPPLIES
ACORN Nvoocf
O i s t r i b "tors, 1 " c .
S.I.tions for the Janitprlut R FapJser vice industries
5820 Fortune Circle Dr. West
Indianapolis, IN 46241
Phone: (317)243-9234, (800) 783-2446
F=ax: (317)260-2289
www.acorndistributors.com IIII it IIIIIII II III :09 01/12/15 DC
15II III�IIIIII I VIII ( 1s Page 11/1
Invoice # BR/WHSE USER REPRINT
I205041-00 01/01 WEB 3
S CARMEL CITY HALL S CARMEL CITY HALL
0 T ATT: JEFERY BARNES H T ONE CIVIC SQUARE
L 0 ONE CIVIC SQUARE I 0 CARMEL IN 46032
D CARMEL IN 46032 P
Tel 317-571-2448 Fax 317-571-5845
ORDER CUSTOMER CUSTOMER P/O TERMS TAX. SHIP SALES JOB
DATE NUMBER NUMBER CODE CODE VIA PERSON ID/NAME
01/09/15 000761S 2340 NET 2S DAYS ZINE/7.000% Tk P4/022 Platte, John 68638
LN# Q—ORD Q—SHP Q—B/O PRODUCT UOM UNIT—PRICE EXTENSION WEIGHT VOLUME T
1) 10 10 0 TRXNLG5201 BX 6 . 83 $68 . 30 15 0 . 3 N
Glove Nitrile Powder Free Large 100/bx
2) 4 4 0 FREEBC72SA12 BX 20 . 15 $80 . 60 7 . 3 0. 8 N
EcoFresh Bowl Clip 12/bx Red Spiced Apple
M. S .D . S . Required, No. FREEBC72SA12
'3) 1 1 0 ASI2015 PL 38 . 00 $38 . 00 50 1 . 2 N
Liquid Snow Shovel 5ga1
4) 2 2 0 ACTGG58XXH CS 37 . 2256 $74 . 45 55 . 4 2 . 1 N
Liner 38x58 Blk 60gl 1 . 8mi1 10/10
***** Special Instructions *****
* 8-5 MONDAY-FRIDAY
**********************************
Sub-Total . . . . . 261 . 35
ESOM!tte �® Fuel Surcharg. . 7. 95
Tax . . . . . . . . . . . 0 . 00
4 Building Maintenance Order Total . . . 269 .30
Account # `c38"9Department #surer
TOT: 17 17 0 128 4
Received in Good Condition: For industry updates and tips, visit us on Ship Date 01/13/15
Facebook at www.facebook.com/acorndistributorsinc Volume Picked by DC
Weight
Pieces Packed by
Pallet
Pkgs Checked by
Ctns
X: ,
Lnth Loaded by
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))
01/09/15 1205041-00 $269.30
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Acorn Distributors, Inc
IN SUM OF $
5820 Fortune Circle Dr West
Indianapolis, In 46241
$269.30
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1205 I 1205041-00 I 42-389.00 I $269.30 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
Tuesday, January 20, 2015
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund