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241760 02/03/15
�,q,f CITY OF CARMEL, INDIANA VENDOR: 00351159 G� .f j; ONE CIVIC SQUARE J.J. KELLER &ASSOCIATES, INC CHECK AMOUNT: $*******161.24* =4; CARMEL, INDIANA 46032 Po Box 548 CHECK NUMBER: 241760 (9M��r'oii��' NEENAH WI 54957.0548 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 9100486730 49.35 OTHER EXPENSES 651 5023990 9100486731 111.89 OTHER EXPENSES J. J. Keller Remit to: INVOICE Invoice Date Invoice No. n 1 P.O. Box 548 01/19/2015 9100486731 \� &1�SSOC1atES,Inc (800)Neenah, 11 54957-0548 D-U-N-S°NO.:05-026-4316 Purchase Order No. (800) 558-5011 FED I.D.NO.:39-0957377 N/A Since 1953 Bill to: Ship to: City of Carmel CWWTP Jeff Cooper Jeff Cooper 9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy Indianapolis IN 46280-2935 Indianapolis IN 46280-2935 VIA: FDX Ground on 01/19/2015 Customer No. J.J.Keller Order No. Order Date Delivery No. Customer Service F.O.B. Terms Page 200565614 501041002 01/19/2015 801 124459 (800) 558-501 1 x 8824 Mfg Net 30 1 of 1 _ _ Ouant�t "LnitzlUet tx'tended ":. ...Materia). ©escrl tan Ordered:.. SS.. ed ..::Back Ordered Price Prlce 16339 CONSTR REG UPDATE PSTR 7-11 EYE 3 3 9.99000 29.97 ---._ . _ PROT----___-<--- ---- - - 18157 CONSTR REG UPDATE PSTR 4-12 3 3 9.99000 29.97 CONFINED 12792 CONFINED SPACES TRNG PROG PSTR 3 3 4.25000 12.75 ENG 40345 LOTO LOCK HAZ ENRGY EMP HDBK 5 5 4.50000 22.50 SHC Shipping and Handling Charges 1 ( 16.70 IN Taxes 1 7 Copyright 2014 J.J.Keller&Associates Inc.,Neenah,WI USA(920)722-2848 Form#0033 YFI_INVOICE Rev:10/14 )IIVOICE `` -Overdue ACCounts:i-59,o'-pe i":i0:th`',an nal porccntage-.-ate-"-%-)-due-a{t-er- 0-den,s�. -:4 For Product Questions or a Return Authorization,please call(800)558-5011,Ext.8824. If you would prefer to receive your invoice by email or fax,please contact us by email at datagovernance@jke/%r.com or by phone at(800)558-5011,Ext.8824. To obtain a W-9 form for J.J.Keller&Associates,Inc.,go to ykeller.com/W9. J. J. Keller lemil to: INVOICE Invoice Date Invoice No. P.O. Box 548 01/19/2015 19100486730 \\� OL A,SSOC1a S�I11C® Neenah,Wl 54957-0548 D-U-N-SO NO.:05-026-4316 Purchase Order No. FED I.D. NO.:39-0957377 (800) 558-5011 N/A Since 1953 Bill to: Ship to: City of Carmel City of Carmel Jeff Cooper 9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy Indianapolis IN 46280-2935 Indianapolis IN 46280-2935 Customer No. J.J.Keller Order No. Order Date Delivery No. Customer Service F.O.B. Terms Page 200565614 600997476 01/19/2015 (800) 558-5011 x 8824 Net 30 1 of 1 _.. > - - Cauantit Un��Nat E:�e 'ed . :Nlatier a[ Deseri tion::.... .-: ..... O.rdered S ii ed Back Ordered. ` : Price: Pr�ee. . 21404 ELP FED&IN ENG SUB 1Y 1 1 49.35000 49.35 -Terms:02/01/2015-01/31/2016 - - ___ IN Taxes 1 � �1 R Copyright 2014 J.J.Keller&Associates,Inc.,Neenah,WI USA(920)722-2848 Form#0033 YFI INVOICEe v:10/14 (nvolce r - - e erdue-;ccourts:1.59107per month-(ann::a!peresntare•a*e_1g%)_d•e-after 30 days. --_— -°mGar*'� For Product Questions or a Return Authorization,please call(800)558-5011,Ext.8824. If you would prefer to receive your invoice by email or fax,please contact us by email at datagovernance@ykeller.com or by phone at(800)558-5011,Ext.8824. To obtain a W-9 form for J.J.Keller&Associates,Inc.,go to pkeller.com/W9.. 1 VOUCHER # 146606 WARRANT # ALLOWED 00351159 IN SUM OF $ J. J. KELLER & ASSOCIATES, INC. . PO BOX 548 NEENAH, WI 54957-0548 Carmel Wastewater Utility ' ON ACCOUNT OF APPROPRIATION FOR i I Board members PO# INV* ACCT# AMOUNT Audit Trail Code 11 9100486731 01-7202-05 7100yg&-73o © -75?09 -Os 5 i ,f Voucher Total a$. Cost distribution ledger classification if claim paid under vehicle highway fund i 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 00351159 J. J. KELLER &ASSOCIATES, INC. Purchase Order No. PO BOX 548 Terms NEENAH, WI 54957-0548 Due Date 1/28/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/28/2015 9100486731 $119.72 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