HomeMy WebLinkAbout242256 02/17/15 0�,; .,� : CITY OF CARMEL, INDIANA VENDOR: 355518
b ONE CIVIC SQUARE FAIRFIELD SERVICE COMPANY CHECK AMOUNT: $*****2,493.00*
a� CARMEL, INDIANA 46032 1401 KENTUCKY STREET CHECK NUMBER: 242256
9M�,r�N�o, MICHIGAN CITY MI 46360 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2015004 2,493.00 OTHER EXPENSES
Fairfield Service Company of Indiana, LLC
1 R r.=1 ra--=L c::> _- 1401 Kentucky St.
Michigan City, IN 46360
Ph.: (219) 872-3000 Fax: (219) 872-4327
S.O. # 80-31226
Parts Order# 1705
INVOICE DATE: 1/27/2015 INVOICE # 2015004
SOLD TO: CARMEL WASTEWATER UTILITIES
ATTN: PAUL ARNONE
9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280
PHONE NO. CONTACT PERSON P.O. NO. P.O. Date DELIVERY DATE WEIGHT LBS
317-571-2634 Duane Jarvis S14527 11/5/2014 1/30/2015 291
Quantity Unit Description Unit Price Extended Price
1 ea 1/2"Thick Tivar 1000 UHMW Trough Liner $2,319.20 $2,319.20
S''ALE,�`AMOUNT $2,319.20
fl�I���
Please remit payment to above address ,eFREI'GHT $173.80
ThanfTou
PAYMENT TERMS: Net 30 Days
':`. TOTAL $2,493.00
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
355518
FAIRFIELD SERVICE COMPANY Purchase Order No.
1401 KENTUCKY STREET Terms
MICHIGAN CITY, IN 46360 Due Date 2/11/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/2015 2015004 $2,493.00
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
I VL-,-
1
Date Officer
VOUCHER # 146718 WARRANT # ALLOWED
355518 IN SUM OF $
FAIRFIELD SERVICE COMPANY
1401 KENTUCKY STREET !.
MICHIGAN CITY, IN 46360
_i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2015004 01-7202-05 $2,493.00
1
I
Voucher Total $2,493.00
Cost distribution ledger classification if
claim paid under vehicle highway fund