HomeMy WebLinkAbout241731 02/03/2015 �`� �pp''F CITY OF CARMEL, INDIANA VENDOR; 357205
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.;; ONE CIVIC SQUARE H.O. BOSTROM CO, INC CHECK AMOUNT: $ 462.12
?a CARMEL, INDIANA 46032 PO Box 549 CHECK NUMBER: 241731
9.y�TON�°\ KENOSHA WI 53141-0549 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 181380 462.12 REPAIR PARTS
H.O. Bostrom Co., Inc.
818 Progress Avenue Invoice Number: 181380
Waukesha, WI 53186 USA Page: 1 of I
1"Teld
(262) 542-0222 Date: 1/19/2015
(262) 542-3784 - FAX
sales®hobostrom.com Salesperson:
www.hobostrom.comRegular Invoice
us how we can serve you better"
Fein No.:39-1212995
Fein No.:
PackNum: 71231
CA02321 Currency: US$US Dollar
B Carmel Fire Dept S Carmel Fire Dept
I 2 Civic Square H 2 Civic Square
L Carmel IN 46032 I Carmel IN 46032
L USA P USA
T T
O O
Fax: 317-571-2615
.� Order_ ,,:Purchase Order— .P»edges- >`repa d eig?:.' — SchepV
97049 L41 2 12.00 UPS NET 30
Line/Rel- ,, Qty Ordered . rQty'Sliipped " -" Back,Order ,< UnitPr_ice J: xtended'Price'.
1 2.000 2.000 0.000 214.1700 428.34
Cl:
Item: 8020-0447CN
Description: KIT C/P S T-350 FCR SWI-NEW SEAGRAVE BLK
U/M: EA
Date Shipped: 01/19/2015
DURA
Tax Basis Summary Tax Rate Tax Basis
Tax Code: NT Taxable: 0.00 0.00
PLEASE REMIT TO: t:Sales Anioupi'll 428.34
H.O. BOSTROM Co., INC. Misc Charges 0.00
P.O. BOX 549 Freight 33.78
KENOSHA, WI 53141-0549 Sales Tax 0.00
Prepaid Amount 0.00
Insurance 0.00
-Pa' This'Amount'. 462.12
Meeting All Your Seating Needs Since 1946
"Credit availability,extension or continuation shall be in the sole discretion of H.O.Bostrom Co.,Inc. Past Due Accounts are subject to 1.5%Monthly FINANCE CHARGE(APR
18%). A$40.00 service charge will be assessed on each check(s)returned from our bank,unpaid,for any reason. In the event the account is turned over to an attorney or
collection agency(or both)for collection,or suit is brought on same,purchaser shall pay all reasonable attorney's fees,courts costs and collection fees incurred by H.O.
Bostrom Co.,Inc."
Return Goods: Restocking charge will apply to all returns.
Return Material Authorization (RMA#) must be requested prior to returning any material.
VOUCHER NO. WARRANT NO.
'I ALLOWED 20
H.O. Bostrom Co., Inc.
IN SUM OF$
,l
PO Box 549 I
Kenosha, WI 53141-0549
$462.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department ,
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 181380 42-370.00 $462.12 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
FEB _ 2 2015
r ,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
iPrescribed 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))
181380 L41 $462.12
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