HomeMy WebLinkAbout258447 05/10/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 356915
ONE CIVIC SQUARE L T RICH PRODUCTS INC CHECK AMOUNT: $********54.66*
CARMEL, INDIANA 46032 920 HENDRICKS DR CHECK NUMBER: 258447
LEBANON IN 46052 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 122807 54.66 REPAIR PARTS
VOUCHER NO. WARRANT NO.
L T RICH PRODUCTS INC ALLOWED 20
920 HENDRICKS DR IN SUM OF $
LEBANON, IN 46052
$54.66
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
122807 I 42-370.00 I $54.66 1 hereby certify that the attached invoice(s), or
2201 201
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
Tuesday, May 03, 2016
0
VVVV W "-�Y
Street C�mmiccioneP
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/22/16 122807 $54.66
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
LT Rich Products, Inc.
ZW
INVOICE
920 Hendricks Dr
Lebanon, IN 46052 Date Invoice#
4/22/2016 122807
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 WEST 131 ST ST. 3400 WEST 131 ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
USA USA
P.O. No. Terms Due Date Ship Date Via
DUE ON DELIVERY 4/22/2016 4/22/2016 U.S. FedEx Grou
80202- PUMP ON-OFF SWITCH 1 10.00 10.00T
80205-AC-WIRE HARNESS-AC_CES_S_O_RIES_ 1 44.66 ; 44.66T
EXEMPT Sales Tax 0.00% 0.00
Total $54.66
Payments/Credits $0.00
Balance Due $54.66
Phone# Fax# E-mail
765-482-2040 765-482-2050 lauriekiefer@hotmail.com
= Receipt 04/22/2016
_Zz
122807
LT Rich Products, Inc.
Lebanon, IN 46052
920 Hendricks Drive
Lebanon, IN 46052
Phone:765-482-2040
Fax:765-482-2050
Email:awalters@z-spray.com
Customer:
CARMEL STREET DEPT.
3400 WEST 131ST ST.
CARMEL, IN 46074
Seller
Mike
Item Unit Qty
# Type Number/Description Price Ordered Total Price
1 Sale 80202-PUMP ON-OFF SWITCH $ 10.00 1 ea $ 10.00
2 Sale 80205-AC-WIRE HARNESS-ACCESSORIES $44.66 1 ea $44.66
Subtotal: $54.66
Sales Tax: $0.00
Approval: Date: Total: $54.66
Paid: $0.00
QUOTES EXPIRE 30 DAYS FROM ISSUE DATE! Difference: $54.66
April 28,2016 3:49:47 PM EDT Pagel oft