242556 02/24/15 �qq*
CITY OF CARMEL, INDIANA VENDOR: 356915
ONE CIVIC SQUARE L T RICH PRODUCTS INC CHECK AMOUNT: S******-11.97-
CARMEL,
*1 1.97*
CARMEL, INDIANA 46032 920 HENDRICKS DR CHECK NUMBER: 242556
LEBANON IN 46052 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 91436 11.97 REPAIR PARTS
Invoice 02/11/2015
LT Rich Products, Inc. 91436
LT Rich Products, Inc.
Lebanon, IN 46052
920 Hendricks Drive
Lebanon, IN 46052
Phone: 765482-2040
Fax: 765-482-2050
Email: awalters@z-spray.com
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL
3400 WEST 131ST 3400 WEST 131ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Phone: 317-733-2001
Fax:317-733-2005 Contact: CITY OF CARMEL
Customer: CITY OF CARMEL
Seller Payment Terms FOB Point Carrier Ship Service Requested Ship Date
Mike DUE ON OriginU.S. FedEx Ground 02/11/2015
DELIVERY
Item Unit Qty
# Type Number/ Description Price Ordered Total Price
1 Sale SCP36301-NY -VALVE HANDLE ONLY AA66 $ 3.99 3 ea $ 11.97
I
Subtotal: $ 11.97
Sales Tax: $ 0.00
Approval: Date: Total: $ 11.97
QUOTES EXPIRE 30 DAYS FROM ISSUE DATE!
February 11, 2015 2:43:36 PM EST Page 1 of 1
VOUCHER NO. WARRANT NO.
LT Rich Products Inc ALLOWED 20
IN SUM OF $
920 Hendricks Drive
Lebanon, IN 46052
$11.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
2201 91436 42-370.00 j $11.97 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
/ jr 7
e
�ffhur d 19, 201
Street CStrbe'i`Co'?flfiR"issioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
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))
02/11/15 91436 $11.97
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