HomeMy WebLinkAbout241506 01/27/15 c/ ,1 CITY OF CARMEL, INDIANA VENDOR: 00351391
® ONE CIVIC SQUARE GEAR GRID CHECK AMOUNT: $*****1,042.10*
:9 =a; CARMEL, INDIANA 46032 670 SW 15TH STREET CHECK NUMBER: 241506
FOREST LAKE MN 55025 CHECK DATE: 01/27/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 .4237000 10334 1,042.10 REPAIR PARTS
GEARGRID Invoice Invoice Number: 0010334-IN
1�7�I�a1�1�����1�1►'1 Invoice Date: 1/7/2015
GearGrid Corporation
670 15th St SW Order Number: 0012939
Forest Lake, MN 55025 Customer PO:
Phone: (651)464-4468 Fax: (651)464-4780
Customer Number: 01-0000065
www.geargridcorp.com
Federal ID M 41-1690616
GSA M
Bill To: Ship To:
Carmel Fire Dept-FS341 Carmel Fire Dept-FS#41
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Bill to Contact: Ship to Contact.
Phone: _Phone
Ship Date Ship Via F.O.B. Terms
1/7/2015 Old Dominion Freight Line Forest Lake, MN Net 30
Pro M 77752282077;
Qty. Qty. Qty.
Line Part Number&Description Ordered Shipped Backordered Price Ext.Amount
0001 402002 LKR-20Wx72Hx2OD-2openings 1 1 0 558.00 558.00
Color:
0002 401001 Side-20" 1 1 0 95.00 95.00
Color: Red Baron
0003 402095 3-Ext-20" 2 2 0 38.00 76.00
Color: Red Baron
0004 402099 Back-20"Wx72"H 3 3 0 49.00 147.00
Color: Red Baron
0005 401004 Capscrew-Hx 1/4-20 X 5-1/2 In Gr 5 7 7 0 1.25 8.75
Zinc
0006 401005 Washer-Flat-1/4 In Uss Zinc 7 7 0 0.25 1.75
0007 401006 Wedge Nut 7 7 0 1.80 12.60
0008 500202 Paint-Spray-Red Baron 1 1 0 0.00 0.00
Net Invoice: 899.10
Less Discount: 0.00
Freight: 143.00
Sales Tax: 0.00
Invoice Total US$: 1,042.10
Less Down Payment: 0.00
Invoice Balance US$: 1,042.10
Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gear Grid Corporation
IN SUM OF $
670 15th St. SW
Forest Lake, MN 55025
$1,042.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
—c—
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 10334 42-370.00 $1,042.10 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
JAN 2 6 2M5
r
i
Fire Chief
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10334 $1,042.10
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