HomeMy WebLinkAbout242800 03/03/15 G4q
CITY OF CARMEL, INDIANA VENDOR: 365719
® ONE CIVIC SQUARE MOUSER ELECTRONICS CHECK AMOUNT: $*******104.51*
9 ate; CARMEL, INDIANA 46032 FPO BOX 99319 ORT WORTH TX 761990319 CHECK NUMBER: 242800
CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 37209639 104.51 OTHER EXPENSES
MOUSER Please remit to:
ELECTRONICS Mouser Electronics,Inc. Original Invoice
P.O.Box 99319
Fort Worth,TX 76199-0319 Invoice No. Invoice Date Page No.
1000 North Main Street,Mansfield,TX 76063 *Reference Number:1165344
37209639 12-FEB-15 1 of 1
Sales Rep: Cindy Loyd
Sales: 800-346-6873
Credit: 800-333-9924 Purchase Order No. Master Tracker No.
Federal ID#61-1520598 INCOTERMS:FCA Shipping Point 514827 127759450324510849
Buyer Name Ship Via Customer No. Terms Order Date
DUANE JARVIS UPS GROUND SERVICE 1165344 NET 30 12-FEB-15
CARMEL WASTE WATER CARMEL WASTE WATER
FBiIITO 9609 HAZEL DELL PARKWAY Shlp TO 9609 HAZEL DELL PARKWAY
MORA, INDIANA 46280 NORA, INDIANA 46280
UNITED STATES UNITED STATES
Mouser Part Number
—__ ---_--—&-anti —_Line Customer/MFG Part No. antity-- Quantity Quantity Unit Price Extended Price
No. Description Ordered Shipped Pending USD USD
1 785-381NS10K 2 2 0 48.170 96.34
MFG Part No:381NS10K
Honeywell Potentiometers
US HTS:8533390080 ECCN:EAR99 COO:U
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Merchandise Handling Freight TAX
Please pay this amount USD $104.51
96.34 0.00 8.17 0.00
Shipping Information
* IMPORTANT: In order to process your payment correctly you must include the reference number and the invoice number when you submit your payment.
These are located at the top of this invoice.
Tracking Number(s)and Billed Weights
127759450324510849 1.00 lb
This order is subject to all terms and conditions displayed at:hftpY/www.mouser.com/Saleterms
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VOUCHER # 155012 WARRANT# ALLOWED
365719 IN SUM OF $
MOUSER ELECTRONICS
PO Box 99319
Fort Worth, TX 76199
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO* INV# ACCT# AMOUNT Audit Trail Code
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37209639 01-7500-02 $104.51
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Voucher Total $104.51
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Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
365719
MOUSER ELECTRONICS Purchase Order No.
PO Box 99319 Terms
Fort Worth, TX 76199 Due Date 2/25/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/25/2015 37209639 $104.51
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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
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Date O 'cer