HomeMy WebLinkAbout252362 12/08/15 CITY OF CARMEL, INDIANA VENDOR: 365719
CHECK AMOUNT: $********28.03*
ONE CIVIC SQUARE MOUSER ELECTRONICS
CARMEL, INDIANA 46032 PO BOX 99319 CHECK NUMBER: 252362
FORT WORTH TX 761990319 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 39473973 28.03 OTHER EXPENSES
MOUSER Please remit to:
ELECTRONICS Mouser Electronics,Inc. Original Invoice
P.O.Box 99319
1:9 Fort Worth,TX 76199-0319 Invoice No. Invoice Date Page No.
1000 North Main Street,Mansfield,TX 76063 •Reference Number:1165344
39973973 23-NOV-15 1 of 1
Sales Rep: Misti Webb
Sales: 800-346-6873
Credit: 800-333-9924 Purchase Order No. 1 Master Tracker No.
Federal ID#61-1520598 INCOTERMS:FCA Shipping Point 515621 127759450333502386
Buyer Name Ship Via Customer No. Terms Order Date
DUANE JARVIS UPS GROUND SERVICE 1165344 NET 30 23-NOV-15
CARMEL WASTE WATER CARMEL WASTE WATER
FB,IIT,] 9609 HAZEL DELL PARKWAY Ship To 9609 HAZEL DELL PARKWAY
NORA, INDIANA 46280 NORA, INDIANA 46280
UNITED STATES UNITED STATES
Mouser Part Number
Line Customer/MFG Part No. Quantity Quantity Quantity Unit Price Extended Price
No. Description Ordered Shipped Pending (USD) (USD)
1 - 700-DS12887A 2 2 0 9.980 19.96
MFG Part No:DS12887A+
Maxim Integrated Real Time Clock
US HTS:8473301180 ECCN:EAR99 COO:P
4 L
l .
Merchandise Handling Freight TAX
P_leasepaythisamount USD $28.03
19.96 0.00 8.07 0.00
Shipping Information
' IMPORTANT: In order to process your payment correctly you must include the reference number and the invoice number when you submit your payment.
These are located at the top of this invoice.
--7 Tracking Number(s)and Billed Weights
127759450333502386 1.00 lb
This order is subject to all terms and conditions displayed at:http:/Iwww.mouser.r-om/saleterrms
VOUCHER # 156780 WARRANT # ALLOWED
365719
IN SUM OF $
MOUSER ELECTRONICS
PO Box 99319
Fort Worth, TX 76199
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT* AMOUNT Audit Trail Code
I
39473973 01-7202-05 $28.03
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Voucher Total $28.03
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 shove, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
365719
MOUSER ELECTRONICS Purchase Order No.
PO Box 99319 Terms
Fort Worth, TX 76199 Due Date 12/3/2015
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I
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/3/2015 39473973 $28.03
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I hereby certify that the attached invoice(s), or bills is are true and
correct and I have audited same in accordance with IC 5�-11-10-1.6
Date Officer