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251484 11/18/15 `V CITY OF CARMEL, INDIANA VENDOR: 00351425 ONE CIVIC SQUARE C T W ELECTRICAL CO, INC CHECK AMOUNT: $ ......74.16- CARMEL, INDIANA 46032 601 SAVRE COURT CHECK NUMBER: 251484 GREENWOOD IN 46143 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 1149365-00 74.16 REPAIR PARTS IWCTW Electrical Co,, Inc. 601 Sayre Court U N V 0 U C E Greenwood IN 46143 8O�42�3�4Fax- 8O0033'7134 6E DATE- hftp� wwvw.u�,ino.uom 000000 1 1/10/1 5 1149365-00 cum� 3350 0 Ship TO: Carmel Street Dept. 34OOWest 131otSt. Carmel, IN Remit To: CT\VBectrica| Co.. Inc. 74SCommerce Pkwy. West Dr. Greenwood, |N4S143 Bill To: Carmel Street Dept. 34OOWest 131utSt. Carmel, |N4GO74 SHIP POINT., Ski�IPED',,- VIA TERMS CTW Electrical Co., Inc. Delivered 11/10/15 Net 30 Days | | 028 Brian Windisch S PTI LN 'ITEM AN D 6i'CRI 6W 2 UPC ORDERED., UM_ AMOUNT: 1 CM-05089 00000 24 0 24 each 3.09 74.16 Chemical Requires ORM-D label. 1 Lines Total Oty Shipped Total 24 Total 74.16 Invoice Total 74.16 | LastPage Discrepancies In shipments must be made within 15 days of invoice. Returns will not be accepted without RGA number. No returns allowed on special order items. items must be received In same packaging and quantity as shipped. Re-stocking charges may apply. Purchaser will be liable for interest,legal and collection costs it account is placed into collections. 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)) 11/10/15 1149365-00 $74.16 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 CTW Electrical IN SUM OF $ 601 Sayre Ct. Greenwood, IN 46143 $74.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 1149365-00 I 42-370.001 $74.16 1 hereby certify that the attached invoice(s), or 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 Thursday, Nov f4 4b � 1) 12, 015 lf A 1-W VY S..rg@Eptn Irnisie�erer Title Cost distribution ledger classification if claim paid motor vehicle highway fund