HomeMy WebLinkAbout243745 03/31/15 �''�a�q"F CITY OF CARMEL, INDIANA VENDOR: 369215
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ONE CIVIC SQUARE JACK DUSTMAN &ASSOCIATES CHECK AMOUNT: S•'•""862.45'
r ,r CARMEL, INDIANA 46032 8401 NORTHWEST BLVD STE A CHECK NUMBER: 243745
9�'�i roN"�°' INDIANAPOLIS IN 46278 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 93579 862.45 OTHER EXPENSES
0 Jack Dustman& Associates •
1HCK DUSTMAN IAr®ICS'
R A s S O c I AT E s 8401 Northwest Boulevard
E911952 Suite A Date Invoice #
Indianapolis, IN 46278 3/16/15 93579
Bill To: Ship To:
Carmel Waste Water Carmel Waste Water
Treatment Pit Treatment Pit
Attn: Duane Jarvis Attn: Duane Jarvis
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, In 46280 Indianapolis, In 46280
S.O. no. Due Date P.O. no. Saler Engineer Termr Ship Date Ship Via
21273 4/15/15 S14884 MB 30 Net 3/5/15 BestWay Pr...
Description U/M Ordered Backordered Invoiced Unit Price Total Price
American Drill Bushing: Fast-Loft ea 4 0 4 207.86 831.44
Hoist Ring 36906
TBD- Freight.;._. 1 1. .. 3,1 01. 31.01
Y®taI $862.45
Serving Industry as Representatives and Distributors for Leading Machinery and:roofing Manufacturers
Email: iackdustman comcast.net Website: w+w iackdustman.com
Phone# E-mail Web Site
(317)872-3537 sales@jackdustman.com www.jackdustman.com
VOUCHER # 155223 WARRANT # ALLOWED
369215 '
IN SUM OF $
JACK DUSTMAN &ASSOCIATES
8401 NORTHWEST BOULEVARD
SUITE A `
INDIANAPOLIS, IN 46278 i
Carmel Wastewater Utility
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Of I ACCOUNT OF P.PPROPRIATION FOP,
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
93579 01-7200-02 $862.45
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Voucher Total $862.45
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
369215
JACK DUSTMAN &ASSOCIATES Purchase Order No.
8401 NORTHWEST BOULEVARD. i Terms
SUITE A Due Date 3/26/2015
INDIANAPOLIS, IN 46278
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Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/26/2015 93579 i $862.45
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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 5711-10-11.6
Date fficer