251055 11/04/15 W.SAq
�%" *�^. CITY OF CARMEL, INDIANA VENDOR: 369988
`` '1 CHECK AMOUNT: $"•"`"254.79'
.I ® ,• ONE CIVIC SQUARE ECOLAB
?Q CARMEL, INDIANA 46032 PO BOX 70343 CHECK NUMBER: 251055
.y��oN�. CHICAGO IL 60673 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4238900 9770430 254.79 OTHER MAINT SUPPLIES
Invoice.:Follow-up EC LAB®
REPLY
TO:
E PHONE
FAX NUMBER VEWID
OCT 19 2015
TO. Y.•
$ Ecolab Inc.
REMIT TO
MONON COMMUNITYP.O. BOX
CENTER
70343
1411 E 116TH ST CHICAGO IL 60673
WHSE. INVOICE DATE VOICE
CARMEL IN 46032-3455 102 10-08- 15 IN NO. 9770430
SHIPPING DATE I B/L N0. TERRITORY NO.
10-08- 151 29698 56- 16-8
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WE.HEREBY CERTIFY THAT THESE GOODS
SHIP TO: SOLO TO: WERE PRODUCED IN COMPLIANCE WITH
MONON COMMUNITY CENTER MONON COMMUNITY CENTER ALL APPLICABLE REQUIREMENTS OF
SECTION 6 7, and 12 OF THE FAIR
LABOR STANDARDS ACT OF 1938. AS
1235 CENTRAL PARK DR E 1411 E 116TH ST AMENDED, AND OF REGULATIONS AND
ORDER OF THE ADMINISTRATOR OF THE
WAGE AND HOUR DIVISION ISSUED
UNDER SECTION 14 THEREOF
CARMEL IN 46032 CARMEL IN 46032 RETURNS MAY.BESUBJECTiORESTOCKINGFEE
1�. . ..................
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:....::..::. :: $f 11P#tf?K..::::::::::::::::.::::. :: ;•:;:;: GIVFT:PRI�E:;o:•:;;:;:;: a:.;:.:.: ;;:::•tANtblI 1T::::::::...........
1 06100731 SANI WASH N WALK 2 . 5GL 94.. 6100 94 .61
2 00017708 OASIS 146 MULTI QUAT2 . 5GL 80. 0900 160 . 18
NET CONTRACT PRICES APPLIED
------ TOTALS -------------
SPECIALTY 94. 61
* WAREWASHING 160. 18
OCT 19 2015
BY:
i ......: .:.:.:.
INVOICE TOTAL
:::: : :
�; ��i?a ; ... . �T i ? ::iai ? `
. i
2 2.6 2
.............................................
TOTAL WEIGHT TERMS \ PG.NO.
67 NET 30LAST PAGE OF INVOICE TCURDA 1
18626/0806/0705
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.
Terms
Ecolab Inc.,
PO Box 70343
Chicago, IL 60673
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/8/15 9770430 Cleaning supplies for Food Services 39145 $ 254.79,
Total $ 254.79
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20_
Clerk-Treasurer
i
Voucher No. Warrant No.
Allowed 20
Ecolab Inc.
PO Box 70343
Chicago, IL 60673 In Sum of$
$ 254.79
i
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center j
PO#or INVOICE NO. CCT#MTL AMOUNT Board Members
Dept# }
1095-1 9770430 4238900 $ 254.79j, 1 hereby certify that the attached invoice(s), or
i 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
1
October 20, 2015
4�
r
Signature
$ 254.79 ` Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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