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241465 01/27/15 (9, CITY OF CARMEL, INDIANA VENDOR: 00351425 ONE CIVIC SQUARE C T W ELECTRICAL CO, INC CHECKAMOUNT: $*******482.30* CARMEL, INDIANA 46032 601 SAYRE COURT CHECK NUMBER: 241465 GREENWOOD IN 46143 CHECK DATE: 01/27115 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 1138912-00 482.30 REPAIR PARTS CTW Electrical Co., Inc. CM 601 Sayre Court INVOICE Greenwood, IN 46143 800/428-3004 Fax:800/833-7134 UPC v INVOICE DATE INVOICE NO. hftp://www.ctwinc.co rn cust#: 3350 000000 01/19/15 1138912-00 Ship To: Carmel Street Dept. P.O.NO. PAGE# 3400 West 131st St. MIKE 1 Carmel, IN 46074 Remit To: CTW Electrical Co., Inc. 601 Sayre Court Greenwood, IN 46143 Biu To: Carmel Street Dept. 3400 West 131st St. INSTRUCTIONS Carmel, IN 46074 SHIP POINT VIA SHIPPED TERMS CTW Electrical Co., Inc. Delivered 01/19/15 Net 30 Days SALESREP SALESREP NAME 028 Brian Windisch LN ITEM AND DESCRIPTION UPC ORDERED B.O. SHIPPED UM PRICE AMOUNT 1 FB-5006-L 00000 24 11 13 each 37.10 482.30 Fuse Block 1 Lines Total Qty Shipped Total 13 Total 482.30 Invoice Total 482.30 Last Page Discrepancies In shipments must be made within 16 days of Invoice.Returns will not be accepted without RGA number. No returns allowed on special order hems. Items must be received In same packaging and quantity as shipped. Re-stocking charges may apply. Purchaser will be liable for Interest,legal and collection costs if account Is placed Into collections. VOUCHER NO. WARRANT NO. CTW Electrical ALLOWED 20 IN SUM OF$ 601 Sayre Ct. Greenwood, IN 46143 $482.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 2201 1138912-00 42-370.00 $482.30 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 / g Frid a , J VVV W Str6 opVjgi8li►l ner Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours,rate per hour, number of units, price per unit,etc. i Payee I Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/19/15 1138912-00 $482.30 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