HomeMy WebLinkAbout243180 3 /18/2015 1�uf'C,A'1sF'
�/ CITY OF CARMEL, INDIANA VENDOR: 00352978
ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $*******21 1.08*
�� ���; CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 243180
9Mfi0N C�` CHICAGO IL 60673-1232 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1822602 211.08 OTHER EXPENSES
cHEMsxcH_�- INVOICE Page: 1 of 1
CORRESPONDENCE TO
ORIGINAL COPY Remittance Address .
PO BOX 152170 CHEMSEARCHFE
IRVING TX 75015 REORDERS CALL #1-800-527-9921 23261 NETWORK PLACE
FAX #1-972-438-0634 CHICAGO,IL 60673-1232
WWW.CHEMSEARCHFE.COM
Sold To Ship To
Attn: ACCOUNTS PAYABLE Weare going green!
CITY OF CARMEL To pay electronically or
CITY OF CARMEL UTILITIES / OPERATIONS
UTILITIES / PLANT MAINTENANCE FOREMAN receive invoices via
3450 W 131ST ST PLANT MAINTENANCE 4915 E
WESTFIELD IN 46074 106TH ST emailorfax-
CARMEL IN 46033
simply contact us at
cac.credit@nch.com
Customer No.:_. Billing Date Terms Due Date- Ship Date Sales Order
441468 26-FEB-15 1 10 NET 08-MAR-15 26-FEB-15 1953356
Invoice No. Purchase Order No. Sales Rep.No. Sales Rep.Name
1822602 DAN022415A USFEF001 DUNSCOMB,Mr.JAMES L
Product Qty Ordered Description Packaging Qty Billed ..:Unit Price I Amount
10033209 1 MAXI-LUBE FG AEROSOL,DZ,US NC DZ 1.00 195.00 195.00
"Merchandise State Tax• "-- Local Tax 'Shipping SpIiEInv.No. Currency-; Total Amount
195.00 0.00 0.00 16.08 USD 211.08
IN Tax ED#0003512371-001-3 Federal ED#75-0457200
-- - CHEMSE„RCH-rE-DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR-ERRORS,OR ADJUSTME*'TS OF-AI14Y K-IND-\:US-T--BE MADE' - —
WITHIN-15 DAYS AFTER RECEIPT OF GOODS:MERCHANDISE NOT ACCEPTED FOR'CREDIT WITHOUTOURPRIOR WRITTEN CONSENT:* -
DISTRIBUTIOI`i-SFn �m.c Tn,nr nc- u!nn*
VOUCHER # 151140 WARRANT# ALLOWED
352978IN SUM OF $
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CHEMSEARCH 'I
23261 NETWORK PLACE
CHICAGO, IL 60673-1232
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Carmel Water Utility j
ON ACCOUNT OF APPROPRIATION FOR
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PO#, INV# ACCT# AMOUNT Audit Trail Code
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1822602 01-6200-03 $211.08
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Voucher Total $211.08
Cost distribution ledger classification if
claim paid under vehicle highway fund t
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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 ;
352978
CHEMSEARCH Purchase Order No.
23261 NETWORK PLACE Terms
CHICAGO, IL 60673-1232 Due Date 3/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2015 1822602 $211.08
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 i icer