HomeMy WebLinkAbout248378 08/12/15 +uC,Ab
ay �. CITY OF CARMEL, INDIANA VENDOR: 369735
j® Yil ONE CIVIC SQUARE HOSE POWER USA CHECK AMOUNT: $*******280.12*
CARMEL, INDIANA 46032 PO BOX 861777 CHECK NUMBER: 248378
ORLANDO FL 32886-1777 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 280.12 OTHER EXPENSES
5520 B Kopetsky Drive V c7S I N VO I C E
809@9POWER' Indianapolis,IN,46217
USAPh:(317)786-7919 Fax:317-786-7910 12072253-00
accounting@hosepower.com
TRACKING#
CUST# 3357 ORDER DATE 07/20/15 1 TAKEN BY 12JK P.O.# QUAIL RUN DATE 07/20/15
INSTRUCTIONS SHIP VIA Will Call PAGE 1
Bill To: CITY OF CARMEL Ship To: CARMEL SEWAGE DEPT..
ONE CIVIC SQUARE 901 N RANGELINE RD
CARMEL, IN 46032 CARMEL, IN 46032
LINE ITEIv1 NUMBER - — --DESCRIPTION/COMMENTS U/M ORDERED B.O./RET SHIPPED UNIT PRICE AMOUNT
11
1 AL-B400 FEMALE CAM X MP 3TBX400,CF1000 EA 3 0 3 15.26 45.78
2 PEL45BK40-400 ELBOW 45 4" BLACK IRON 15OPSI EA 1 0 1 102.59 102.59
4 PTEEBK40-400 4 BLACK TEE EA 1 0 1 105.36 105.36
5 PNIPBK40-40OXCLS 4" CLOSE NIPPLE NBLM05A EA 1 0 1 26.39 26.39
SUB TOTAL 280.12 MIN DEL FEE FREIGHT IN FREIGHT OUT SALES TAX
TERMS:Customer agrees to pay a service charge of 1-1/2%per month, TERMS: NET 30
a true rate of 18%per annum on any amount past due and to pay reasonable TOTAL DUE 280.12
attorney's fees if it becomes neccessary to file suit to enforce collection.
Accounts past due may be placed on a COD basis without notice.A$35 fee -will be charged for returned checks.Special orders may not be returned or
payment refunded.No items will be accepted for return without authorization.
All returns are subject to a restocking charge plus any freight charges incurred.
Orders below minimum level are subject to a delivery charge.
Retain This Portion For Your Records
VOUCHER # 156050 WARRANT # { ALLOWED
369059
IN SUM OF $
HOSE POWER USA
PO BOX 861777
ORLANDO, FL 32886-1777
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT 'I Audit Trail Code
12072253-00 01-7200-02 $280.12
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Voucher Total $280.12
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
369059
HOSE POWER USA Purchase Order No.
PO BOX 861777 Terms
ORLANDO, FL 32886-1777 Due Date 8/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2015 12072253-00 i, $280.12
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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 5-11-10-1.6
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Date + Officer