HomeMy WebLinkAbout250432 1 0/07/1 5 ,CAA .
CITY OF CARMEL, INDIANA VENDOR: 369890
j; ® j _ ONE CIVIC SQUARE SUPERIOR SIGNALS INC CHECK AMOUNT: $"`•.....59.15"
?� CARMEL, INDIANA 46032 PO BOX 843214 CHECK NUMBER: 250432
4),�roN.�:`• KANSAS CITY MO 64184 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 393021 59.15 OTHER EXPENSES
3b mo
393021
INVOICE
NUMBER
SUPERIOR SIGNALS, INC. INVOICE DATE PACKING SLIP NO.
BOX 843214•KANSAS CITY,MISSOURI 64184-3214 9/08/15 K98FY/00
www.superiorsignals.com
BURHRIOR BION{Ld INC.
ACCOUNT NUMBER
2/0000731546
SOLD TO SHIP TO
CARMEL STREET DEPT CARMEL STREET DEPT
9609 HAZEL DELL PARKWAY 9609 HAZELL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
UNITED STATES OF AMERICA UNITED STATES OF AMERICA
TO ENSURE PROPER CREDIT, PLEASE RETURN THIS STUB WITH YOUR PAYMENT OF_ $
DATE SHIPPED PURCHASE ORDER NO. ACCOUNT NO. SALES NO. TERMS SHIP VIA
9/08/15 TRUCK# 117 0000731546 100 Net 30 days UPS GROUND
QUANTITY PART NO. DESCRIPTION UNIT PRICE NET PRICE
ORDERED BACK SHIPPED
ORDERED
1 0 1 SY850—B HOUSING LEFT US 45.15 45.15
Return authorizations must be requested
within 30 days of invoice.
No parts returned without authorization.All returns subiect to 25% restocking fee. TOTAL 45.15
COMMENTS
MISC.CHARGES
PPD FREIGHT 14.00
9/08/15
SALES TAX
SUPERIOR SIGNALS,INC. 99�
TOTALTOLL FREE 800 447-3693•PHONE 913-780-1440•FAX 913-780-1427 AMOUNT DUE 59.15
We Hereby certify that these goods were produced in compliance with all applicable requirements of Section 6,7,and 12 of the Fair
Labor Standards Act as amended,and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. INVOICE NO. 393021
To view our terms,policies,and prices document,go to www superiorsignals.com/legal.aspx
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
369890
SUPERIOR SIGNALS, INC. Purchase Order No.
BOX 843214 Terms
KANSAS CITY, MISSOURI 64184-3214 Due Date 9/30/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/30/2015 393021 $59.15
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
Date Officer
VOUCHER # 156381 WARRANT # ! ALLOWED
369890 IN SUM OF $
SUPERIOR SIGNALS, INC.
BOX 843214 1
KANSAS CITY, MISSOURI 64184-3214
i
S
Carmel Wastewater Utility '
i
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
393021 01-7500-02 $59.15
I
i
Voucher Total $59.15
Cost distribution ledger classification if
claim paid under vehicle highway fund
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