HomeMy WebLinkAbout255736 03/01/16 d-5Aq
CITY OF CARMEL, INDIANA VENDOR: 066000
4 t3; ONE CIVIC SQUARE CORRELATED PRODUCTS INC. CHECK AMOUNT: $*******399.62*
CARMEL, INDIANA 46032 PO BOX 42387 CHECK NUMBER: 255736
INDIANAPOLIS IN 46242-0387 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT .DESCRIPTION
1120 4239099 0097962-IN 399.62 OTHER MISCELLANOUS
Remit to:
Invoice P.O. Box 6457-Dept.#274
Indianapolis, IN 46206
Correlated Products, Inc./Road Solutions Inc. Invoice Number: 0097962-IN
Industrial Maintenance Invoice Date: 1/26/2016
5616 Progress Road Customer Number: 9001001
P.O. Box 42387
Indianapolis, IN 46242-0387
(800)428-3266
Sold To: Shio To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPT STATION 42
ATTN: DENISE SNYDER 3610 W. 106th STREET
2 CIVIC SQUARE ATTN: SCOTT OSBORNE
CARMEL, IN 46032 CARMEL, IN 46032
Customer P.O. Ship VIA Terms
- - -- ------ - -- --- - - - — - - -- -
--NE-T--15 DAYS--
Ordered Shipped Back Ord Unit Item Code Description Price Amount
6 6 0 EA 6629-001 GLSLNBB BLUE MOPS 9.95 59.70
6 6 0 CS 75000254 P/S MULTIFOLD TOWEL NATURAL 22.82 136.92
4 4 0 PL 1211-005 FORCE ULTRA HEAVY DUTY 49.00 196.00
Net Invoice: 392.62
FreighUPMSurchg 7.00
Sales Tax: 0.00
Invoice Total: 399.62
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
ihom, 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))
97962 $399.62
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Correlated Products Inc.
IN SUM OF$
PO Box 42387
Indianapolis, IN 46242
$399.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT ' Board Members
1120 97962 42-390.99 $399.62 I hereby certify that the attached invoice(s), or
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
FEW 19
Q /
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund