HomeMy WebLinkAbout252142 12/02/15I
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*"• CITY OF CARMEL, INDIANA VENDOR: 369890
ONE CIVIC SQUARE SUPERIOR SIGNALS INC
". CHECK AMOUNT: $********59.15*
?� CARMEL, INDIANA 46032 PO BOX 843214 CHECK NUMBER: 252142
.�; ®
Mi_UN�, KANSAS CITY MO 64184 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 394093 59.15 OTHER EXPENSES
INVOICE:' 394093
NUMBER..;,
SN& SUPERIOR SIGNALS, INC. -INVOICE DATE J,PACKING SLIP.NO.
BOX 843214•KANSAS CITY,MISSOURI 64184-3214 9/21/15 K99VM/00
www.superiorsignals.com
SUPHR/OR HIHNgL6 /NQ. - ACCOUNTMMBER _
2/0000731546
SOLD TO SHIP TO
CARMEL STREET DEPT CARMEL STREET DEPT
3400 W 131 ST 9609 HAZELL DELL PARKWAY
CARMEL IN 46074 INDIANAPOLIS IN 46280
UNITED STATES OF AMERICA UNITED STATES OF AMERICA
`REPRINT FROM HISTORY'
TO.ENSURE'PROP.ER.CREDIT, PLEASE RETURN THIS STUB WITH YOUR,PAYMENTOF $
.DATE SHIPPED"-PURCHASE ORDER'NO... ACCOUNTiNO. SALES_NO." 'TER
MS SHIP VIA:
9/21/15 S15467 0000731546 100 -Net 30 days UPS GROUND
QUANTITY".
BACK PART-No., DESCRIPTION" UNIT.PRIGE NET'PRICE.
ORDERED ORDERED SHIPPED - -
1 0 1 SY850—A HOUSING RIGHT US 45.15 45.15
Return authorizations must be requested
within 30 days of invoice.
No' arts returned without authorization.All returns subject fo 25%restockih� fee. TOTAL 45.15
COMMENTS
MISC.CHARGES
PPD
9/21/15 FREIGHT 14.00
SALES TAX
SUPERIOR SIGNALS,INC. IS09001
cEn�rFiEa •TOTAL: 59.15
TOLL FREE 800-447-3693•PHONE 913-780-1440•FAX 913-780-1427
AMOUNT"DUE,,•
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. 394093
To view our terms,policies,and prices document,go to www.superiorsignals.coWegal.aspx
1
VOUCHER # 156705 WARRANT # ALLOWED
369890 IN SUM OF $
SUPERIOR SIGNALS, INC.
BOX 843214
KANSAS CITY, MISSOURI 64184-3214
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
t
394093 01-7500-02 $59.15
I
Voucher Total $59,15
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201,' 394093 $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