HomeMy WebLinkAbout253635 01/22/16 %`��p''F• CITY OF CARMEL, INDIANA VENDOR: 363940
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® ¢; ONE CIVIC SQUARE FILTER SERVICES OF INDIANA CHECK AMOUNT: $*******280.72*
;. �. CARMEL, INDIANA 46032 1550 INDIANA AVE CHECK NUMBER: 253635
9y�,,-_� INDIANAPOLIS IN 46202-2153 CHECK DATE: 01/22/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20152602 280.72 OTHER EXPENSES
Date Invoice# S.O. No.
FILTER 1550 Indiana Ave.
w SERVICES Indianapolis, IN 46202-2153 12/14/2015 20152602
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OF INDIANA Phone #(317) 264-2123
✓�V Fax# (317) 264-2121
P.O. No. S15685
Bill To Ship To
CITY OF CARMEL WATER POLLUTION CITY OF CARMEL WATER POLLUTION CONTROL
CONTROL FACILITY& SEWER DEPT.
FACILITY & SEWER DEPT. 9609 HAZEL DELL PARKWAY
9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280
INDIANAPOLIS, IN 46280
Terms Due Date Ship Date Ship Via FOB Rep Project
Net 30 Days 1/13/2016 12/14/2015
Item Description Ordered Prev. Inv. Invoiced Rate Amount
16X20X1 M... 102-700-006 16X20X1 Multi-Pleat M8 24 2.58 61.92
20X25X2 M... 102-700-021 20X25X2 Multi-Pleat M8 36 3:33 . 11.9.88
20X20X2 M... 'IO2-700=019-20X20X2--MuItkPleat M8 - 3.08 73.92
belivery Ch... -Delivery Charge ' 1 ' 25.00 ? 25.00
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- - -- Subtotal $280..72
Sales Tax (7.0%) $0.00
Total $280.72
Payments/Credits $0.00
Balance Due $280.72
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
363940
FILTER SERVICES OF INDIANA Purchase Order No.
1550 INDIANA AVE. Terms
INDIANAPOLIS, IN 46202-2153 Due Date 12/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201! 20152602 $280.72
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
VOUCHER # 157014 WARRANT # a ALLOWED
363940
IN SUM OF $
FILTER SERVICES OF INDIANA
1550 INDIANA AVE.
INDIANAPOLIS, IN 46202-2153
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
20152602 01-7202-06 $280.72
1
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1
Voucher Total $280.72 I1
Cost distribution ledger classification if 1
claim paid under vehicle highway fund