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HomeMy WebLinkAbout253114 01/11/16 (9, CITY OF CARMEL, INDIANA VENDOR: 366764 ONE CIVIC SQUARE K M INTERNATIONAL CHECK AMOUNT: S`"`""'419.97` CARMEL, INDIANA 46032 6561 BERNIE KOHLER DRIVE CHECK NUMBER: 253114 NORTH BRANCH MI 48461 CHECK DATE: 01/11/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 8751 419.97 REPAIR PARTS INVOICE 6561 Bernie Kohler Drive ��� Date Invoice# North Branch,MI 48461 \ 12/16/2015 8751 Bill To Ship-To CITY OF CARMEL CITY OF CARMEL 3400 W. 131ST 3400.W. 131ST CARMEL,IN 46074 CARMEL,IN 46074 S.O. No. P.O. No. Terms Due Date Rep Territory C... Ship Via INCOTERM 12009 VERBAL. Net 30 Days 1/15/2016 GW 30 12/16/201 UPS GND Quantity Description Rate- Amount 1 ROBERT SHAW THERMOSTAT(350°STOP) 402.19 402.19 1 HANDLING/PACKAGING AND/OR CRATE CHARGES 7.50 7.50. 1 UPS-GROUND 4 1Z 7139 IEl 035812 5363 10.28 10.28 1.25%Late Fee On All Past Due Invoices-Assessed Monthly Total $419.97 Payments/Credits $0.00 Balance Due $419.97 Phone# Fax# E-mail Web Site 810-688-1234 810-688-8765 ginger@kmintemational.com www.kmintemational.com 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 12/16/15- 8751 $419.97 2201 201 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 K M INTERNATIONAL 6561 BERNIE KOHLER DRIVE IN SUM OF$ NORTH BRANCH, MI 48461 $419.97 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member I 8751 I 42-370.00 I $419.97' 1 hereby certify that the attached invoice(s), or 2201 201 Prior Year 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 rl ur day ecemb�r 31, 6 �5 J eet Ge iil3iiis-s�ri8.' Cost distribution ledger classification if claim paid motor vehicle highway fund