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242766 03/03/15 4.:'.4ag,�F ,; CITY OF CARMEL, INDIANA VENDOR: 357911 ONE CIVIC SQUARE INDUSTRIAL HYDRAULICS INC CHECK AMOUNT: $*******205.31* CARMEL, INDIANA 46032 1005 WESTERN DRIVE CHECK NUMBER: 242766 s INDIANAPOLIS IN 46241 9M�iioi+'�?� CHECK DATE: 03/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0382037-IN 205.31 OTHER EXPENSES Invoice Page: 1 Industrial Hydraulics, Inc. INVOICENUMBER: INVOICE DATE: i 1005 Western Drive 0382037-W 2/10/2015 Indianapolis,IN 46241 (317)247-4421 TERMS: NET 30 DISC DATE DUE DATE 2/10/2015 3/12/2015 ORDER DATE SHIP DATE BILL TO: CARMEL UTILITIES 2/5/2015 2/5/2015 WATER&WASTEWATER 760 THIRD AVE SW,SUITE 110 CUSTOMER P.O.: S14801 CARMEL,IN 46032 SHIP VIA CUSTOMER SALESPERSON: IHI SHIP TO: CARMEL UTILITIES WATER&WASTEWATER PLEASE PAY FROM THIS INVOICE ORDERNUMBER: 60THIRD`A-VE`SW SUITii.-VtO — -, --- ------ ,-------_.—_� ___ _�—,------ — - .- 0062651 CARMEL,IN 46032 ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT 311365 EACH 3.00 3.00 0.00 62.74 188.22 FILTER THANK YOU Net Invoice: 188.22 Reinit To INDUSTRIAL HYDRAULICS,INC Less Discount: 0.00 X................................................. 1005 WESTERN DRIVE Freight: 17.09 We hereby certify that these goods were produced in compliance INDIANAPOLIS,IN 46241 with all applicable requirements of Section 6,7 and 12 of the Fair Labor Standards Act TURNED MATERIAL SUBJECT TO HANDLING CHARGE Sales Tax: 0.00 as amended,and of regulations and orders of the United States Department Of Labor issued under Section 14 thereof. MATERIAL CANNOT BE RETURNED WITHOUT AUTHORIZATION Invoice Total: 205.31 1 1/2%MONTHLY SERVICE CHARGE ADDED ON ALL PAST DUE INVOICES VOUCHER # 155024 WARRANT # ALLOWED IN SUM OF $ 357911 ti INDUSTRIAL HYDRAULICS INC i 1005 WESTERN DRIVE INDIANAPOLIS, IN 46241 1 II i Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR M� �tBoard members i PO# INV# ACCT# AMOUNT II Audit Trail Code j 0382037—IN 01-7202-06 $205.31 i .I a 'I t 1 t i y I� Voucher Total $205.31 Cost distribution ledger classification if claim paid under vehicle highway fund �. Prescribed by State Board of Accounts i 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 357911 INDUSTRIAL HYDRAULICS INC Purchase Order No. 1005 WESTERN DRIVE Terms INDIANAPOLIS, IN 46241 Due Date 2/25/2015 Invoice Invoice Description Date Number (or note attached iiivoice(s) or bill(s)) Amount i 2/25/2015 0382037-IN $205.31 i i M I J 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 i Date 'cer I