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247818 07/28/15 Q CITY OF CARMEL, INDIANA VENDOR: 083080 ONE CIVIC SQUARE EDGEWOOD BUILDING SUPPLY CHECK AMOUNT: S""`1,778.30"CARMEL, INDIANA 46032 3749 SOLUTIONS CENTER CHECK NUMBER: 247818 CHICAGO IL 60677-3007 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 94792709 1,778.30 CEMENT EDGEWOOD BUILDING SUPPLY EDGEWGDD 1 580 E. EPLER AVE INDIANAPOLIS, IN 46227 INVOICE Invoice #: 94792709 Invoice Date: 07/15/2015 CITY OF CARMEL DEPT OF RELATIONS SHIP TO: CITY OF CARMEL DEPT OF RELATIONS ONE CIVIC SQUARE CARMEL DRIVE ORDER CONE CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 CUSTOMER# CUSTOMER PO# SALES ORDER# SALESPERSON CARRIER 1019648 CARMEL DRIVE CAPS 10741195 591 9999 DELIVERY DATE DEL.TICKET# QUANTITY PLANT UOM PRICE EXTENDED DESCRIPTION AMOUNT 07/09/2015 82243930 16.40 4008 FT3 108.14/1 1,773.50 ED INDIANA LIMESTONE STD BUFF 65 07/09/2015 82243930 16.00 4008 EA 0.30/1 4.80 PLASTIC SPACER 1" X 2" X 3/8" WHT NON-TAXABLE TAXABLE SALES TAX TOTAL DUE 1,778.30 124.49 1,902.79 TERMS: Before 10 of nxt mo.10% disc-Net bef 30 of nxt mo. MAKE CHECKS PAYABLE TO: A service charge of 1-1/2% per month which is an Edgewood Bldg Supply annual rate of 18% will accrue 30 clays after 3749 Solutions Center Chicago, IL 60677-3007 1019648 /94792709 Page: 1 of 1 www.edgewoodbuildingsupply.com 317-786-9208 P_ 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 service rendered, by whom, 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)) 07/15/15 94792709 $1,902.79 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. ALLOWED 20 Edgewood Bldg Supply IN SUM OF $ 3749 Solutions Center Chicago, IL 60677-3007 �6a 9e2=-[6 /7 . 3 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 94792709 I 42-362.001 ,"0279 1 hereby certify that the attached invoice(s), or / 770 ., 30 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 T bz A 5 r St&-ve-vl� ,"iPslonler r Title Cost distribution ledger classification if claim paid motor vehicle highway fund