HomeMy WebLinkAbout253642 01/22/16 ♦�o��AbF
CITY OF CARMEL, INDIANA VENDOR: 00351391
/ ONE CIVIC SQUARE GEAR GRID CHECK AMOUNT: $*****2,865.00*
�a: CARMEL, INDIANA 46032 670 SW 15TH STREET CHECK NUMBER: 253642
��roN� FOREST LAKE MN 55025 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 R4467099 24759 11994 2,865.00 GEAR LOCKERS — STA. 4
►_ 1 } , Invoice Invoice Number: 00.11994-IN.-
Miff
Invoice Date: 12!28!2015
ea rid Corporation �.
67015th.St SW Order:Number: 0015791
Forest Lake;MN 55025 Customer PO: 24759,
Phone:.(651)464-4468, Fax: (651)464-4780 Customer Number: 01-0000065
www.gebrgddcorp.com
Federal ID#: 41=1690616
GSA#:
BM To: Ship To:
Carmel.Fire Dept Carmel Fire Dept
2 Civic Dr FS.#41-Headquarters
Carmel,-IN 46032 2 Civic Dr
Carmel,IN 46032
Bili to Contact: K Ship to Contact:
Phone:. Phone:
Ship Date Ship Via F.O.B. Terms
12121/2015 Old Dominion Freight-Line- _ Forest`Lake,_.MN"�. Ne#30
Pro#: 77763024203;
.. Qty. Qty a
Line- Part Number S Description Ordered Shipped Backordered Price Ext:Amount
,0001 .402009 LKR-20Wx72Hx20D-96penings 1 1 0 1,974.00 1,974.00
Color: Red Baron
0003 401021 Hanger-Coat-Flat" 9 9 012.00 108.00 .
0004 401011 Secure Box Assembly 9 9 .0 49.00 441.00.
Color: Red Baton
0005 500202 " Paint=Spray=Red Baron 1 1 .0 0.00 0.00
Net Invoice: 2,523:00
Less Discount:• 0.00
Freight: 342.00.
Sales,Tax:. 0.00
Invoice Total.US$: 2,865.00
Less Down Payment: 0.00
Invoice Balance US.$: 2,865.00
Page.1 of 1
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
in invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Thom, 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))
11994 Station 44 $2,865.00
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