HomeMy WebLinkAbout250186 10/07/15 i
CITY OF CARMEL, INDIANA VENDOR: 369887
ONE CIVIC SQUARE DAKOTA FLUID POWER CHECK AMOUNT: $**.....252.63*
CARMEL, INDIANA 46032 3409 N LEWIS AVENUE CHECK NUMBER: 250186
SIOUX FALLS SO 57104 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6390996 252.63 OTHER EXPENSES
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INVOICE
;. Dakota Fluid Power, Inc.
+'r INVOICE
Branch: 12 OEM
6390996
DAKOTA FLUID POWER ;Rerrii`f�to '=='
Invoice Date Page
3409 N.Lewis Ave. 9/3/2015 15:36:47 1 1 of 1
Sioux Falls,SD 57104 ORDER NUMBER
605-338-9982 1431895
Bill To: Ship To:
CARMEL WASTEWATER-SEWER CARMEL WASTEWATER-SEWER
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280
Customer ID: 117773
PO Number Term Description Net Due Date
S15432 Net 30 10/3/2015
Order Date Pick Ticket No Primary Salesrep Name Taker
9/3/2015 15:20:46 3508527 OEM HOUSE ACCT MADONNA.NACHTIGAL
Quantities Pricing
ttent ID UOA1 Unit Extended
Ordered Shipped Remaining UOM a Item Description price Price
Unit Size O I Unit Size
Carrier: UPS Tracking#:IZY4X3750348999864
**********Service Item**********
1.00 1.00 0.00 EA OEM ELECTRICAL REPAIR EA 240.0000 240.00
Serial Number: FUNCTIONALITY ANALYSIS 1.0000
1.0 electrical item repair
Total Lines: 1 SUB-TOTAL: 240.00
Total Freight In: 0.00 Total Freight Out: 12.63 TOTAL FREIGHT. 12.63
TAX: 0.00
AMOUNT DUE: 252.63.
ORIGINAL ALL SALES SUBJECT TO OUR TERMS AND CONDITIONS LOCATED AT:
12.13.1252-10/15/13 www.dakotafluidpowercom/terms_and conditions.php
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
369887
DAKOTA FLUID POWER, INC. Purchase Order No.
3409 N. LEWIS AVE. Terms
SIOUX FALLS, SD 57104 Due Date 9/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/29/2015 6390996 $252.63
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
ip � � s Gam-4-/�✓�.-.,
Date Officer
VOUCHER # 156373 WARRANT # ALLOWED
369887 IN SUM OF $
DAKOTA FLUID POWER, INC.
3409 N. LEWIS AVE.
SIOUX FALLS, SD 57104
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6390996 01-7362-06 $252.63
Voucher Total $252.63
Cost distribution ledger classification if
claim paid under vehicle highway fund