HomeMy WebLinkAbout247493 07/15/15 �,q;f CITY OF CARMEL, INDIANA VENDOR: 369560
® `i; ONE CIVIC SQUARE SUPPLYWORKS CHECK AMOUNT: $**..."'34.35"
r• ?� CARMEL, INDIANA 46032 PO BOX 404284 CHECK NUMBER: 247493
4j,'TUN��` ATLANTA GA 30384-4284 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4237000 340273697 34.35 REPAIR PARTS
INVOICE
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PO Box 2317 INVOICE DATE 06/23/2015
—
Jacksonville FL 32203-2317 JUL 0 2 2015 INVOICE NUMBER 340273697
BY: i ACCOUNT NUMBER 1 516300
ORDER NO. 6472404
FOR INQUIRIES CALL: (800)431-1872
SOLD TO: FAX: (888)499-0441
295 1 MB 0.439 E0279X 10526 D1380073252 P2677483 0001:0002 customercare@jasmro.com
www.jasmro.com
II��IIII�IIIIIII��I���II�I�III��III��IIII��I���IIIII�����I����I�� SHIPPED TO:
kyr CARMEL-CLAY PARKS MONON CTR CARMEL-CLAY PARKS MONON CTR
1411 E 116TH ST 1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032-3455 CARMEL IN 46032
1FLNITEM
O. CONTROL NO. CUSTOMER P.O. SHIPPED VIA TERMS CASH DISCOUNT AMT
4 XX-2332 IND TRUCK 1 1%10 DAYS,NET 30 0.27
NO. CAT DESCRIPTION ORDER SHIP B/O UOM LISTPRICE PRICE EXT.AMT. TAX CODE
SQUARE BAR SLIDE 3 3 0 EA 8.95 26.85
HANDLING 7.50
:190603
NET MERCHANDISE TOTAL TAX TOTAL SPECIAL CHARGES INVOICE TOTAL
26.85 0.00 7.50 34.35
TERMS AND CONDITIONS FROM CURRENT CATALOG&ONLINE APPLY. CLAIMS FOR SHORTAGES OR DAMAGED GOODS MUST BE MADE IMMEDIATELY UPON RECEIPT OF
SHIPMENT IN ACCORDANCE WITH CURRENT RETURN GOODS POLICY. NO RETURNS ACCEPTED WITHOUT PRIOR AUTHORIZATION.
RETAIN THIS PORTION OF THE INVOICE FOR YOUR RECORDS
PLEASE VERIFY REMIT ADDRESS
To avoid payment processing -delays, please verify your records to ensure
payments are mailed to the correct remittance address provided on the
remittance stub of your invoices and made payable to SupplyWorks.
The name change to SupplyWorks was added as a trade name, all
information on the W-9 form still remains the same.
If you have any questions, please email:
CAC-Admin@interlinebrands.com - Thank you
295 1 MB 0.439 E0279X 10527 01380073252 P2677483 0002:0002
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
SupplyWorks Terms
P.O. Box 404284
Atlanta, GA 30384-4284
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/23/15 340273697 Waterpark shower parts xx2332 $ 34.35
I -
Total $ 34.35
1 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
120
Clerk-Treasurer
Voucher No. Warrant No.
SupplyWorks Allowed 20
P.O. Box 404284
Atlanta, GA 30384-4284
In Sum of$
$ 34.35
ON ACCOUNT OF APPROPRIATION FOR
109 -Morton Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 340273697 4237000 $ 34.35 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
July 9, 2015
Signature
$ 34.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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