HomeMy WebLinkAbout245826 06/03/15 0�%'�'\"� CITY OF CARMEL, INDIANA VENDOR: 00351391
ONE CIVIC SQUARE GEAR GRID CHECK AMOUNT: $*******295.00*
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CARMEL, INDIANA 46032 670 SW 15TH STREET CHECK NUMBER: 245826
9.y�To* � FOREST LAKE MN 55025 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 10973 295.00 OTHER EQUIPMENT
GEARGRID Invoice Invoice Number: 0010973-IN
Invoice Date: 5/21/2015
GearGrid Corporation
670 15th St SW Order Number: 0014317
Forest Lake, MN 55025 Customer PO:
Phone: (651)464-4468 Fax: (651)464-4780 Customer Number: 01-0000065
www.geargridcorp.com
Federal ID M 41-1690616
GSA M
Bill To: Ship To:
Carmel Fire Dept Carmel Fire Dept
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Bill to Contact: Ship to Contact.
Phone: Phone:
--Ship-Date Ship-Via- ------ ---F.O.-B. ----Terms---- — --
5/18/2015 Fed Ex Forest Lake, MN Net 30
Pro M
Qty. Qty. qty.
Line Part Number&Description Ordered Shipped Backordered Price Ext.Amount
0001 412200 4 place 02 bottle shelf 5 5 0 49.00 245.00
Color: Evergreen
Net Invoice: 245.00
Less Discount: 0.00
Freight: 50.00
Sales Tax: 0.00
Invoice Total US$: 295.00
Less Down Payment: 0.00
Invoice Balance US$: 295.00
Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gear Grid Corporation
IN SUM OF$
670 15th St. SW
Forest Lake, MN 55025
$295.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 10973 102-670.99 $295.00 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 jUN
v
Or A'4 A A
V V IV
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
hom, 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))
10973 $295.00
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