HomeMy WebLinkAbout253051 01/11/16 9w,FSA
'� CITY OF CARMEL, INDIANA VENDOR: 365554
z ® �I ONE CIVIC SQUARE EXTRACTOR CORP CHECK AMOUNT: $*******215.00*
?� CARMEL, INDIANA 46032 PO BOX 99 CHECK NUMBER: 253051
M4`TOlI�O' SOUTH ELGIN IL 60177 CHECK DATE: 01111/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 152468 215.00 EQUIPMENT REPAIRS & M
PLEAS E:REN(1T TO - INVOICE
Extractor Corporation
F O. BOX,99' D :F:-81
:VC,
r �=DATE, . - 1Na/fJICEaNC)`
Sou'th'FEIgin; IL,60177` _
Fe`derai:.I..D. #36-3261591 BY: ,.--1212212015 15-2468--"
BILL TO SHIP TO
Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation
11411 E. 116th Street 1235 Central Park Drive E.
Carmel, IN 46032 Carmel, IN 46032
Attn: Accounts Payable Attn: Jim Ransford
P.O. NUMBER TERMS SHIP DATE SHIP VIA SERIAL NUMBER SERIAL NO, RET.
39366 Net 30 12/22/2015 UPS
ITEM DESCRIPTION QTY RATE AMOUNT
BEC1502 115'VOLT MOTOR 1 185.00 185.00
AEC 2200 :. MOTOR'PARTS KIT TO INCLUDE PER KIT: 1 15.00 15.00
• '< :(1)AEC1506 HUB ROLL PIN _
(2}'AEC1612 COMPRESSION SPRINGS
_..._.._._.._-_.._. (2) AEC1.609 FLAT"WASHER
(2) AEC1603 WHITE PLASTIC BUSHING
(6) AEC1205 BLACK RIVETS
(3) AEC1240 ALUMINUM RIVETS
(2) AEC1817 INSULATED CONNECTOR
(1) AEC1819 FLANGE FORK CONNECTOR
(2) AEC1605 BRAKE TIP
AEC1605 RUBBER BRAKE TIP 10 0.00 0.00
SHIPPING SHIPPING & HANDLING 1 15.00 15.00
T 847 742-3532 _F 847 742=3552"
( ) (. ) - TOTAL
-E-Mail: info@suitmate:com $215 00
Website: www.suitmate.com
Returns Subject to Restocking Fee of 10%plus Freight T AT E�
No Returns Accepted After 90 Days
rices subject to change m4thout notice Swimsuit Water Extractor
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365554 Extractor Corporation Terms
P.O. Box 99
South Elgin, IL 60177
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/22/15 152468 Swim suit dryer parts 39366 $ 215.00
Total Is 215.00
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
'
Voucher No. Warrant No.
'
365554
Extractor Corporation / Allowed 20_____
P.Q. Box BQ '
South Elgin, |L 60177 '
/ InSum oY
/
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215.00 /
[VNACCOUNT{JFC�N �C�� '
ArrR^^,R"`.. j
109-88onmn Center
Board Members
PO#or INVOICE NO. AkCCT#fTITLE AMOUNT
oap �
1093 152468 4350000 $ 215.0011 |hereby certify that the attached invnice(s), or
biU(s)is(am)true and correct and that the
materials orservices itemized thereon for
which charge iomade were ordered and
received except
December 28,2016
Signature
\1 Accounts Payable Coordinator
Cost distribution ledger classification J Title
claim paid motor vehicle highway fund
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