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258651 05/13/16
r CLAM CITY OF CARMEL, INDIANA VENDOR: 368436 .�; ® ,• ONE CIVIC SQUARE LANDSCAPE STRUCTURES INC CHECK AMOUNT: $********34.80* CARMEL, INDIANA 46032 SDS 12-0395 CHECK NUMBER: 258651 +yiTON PO BOX 86 CHECK DATE: 05/13/16 MINNEAPOLIS MN 55486.0395 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 INVO28958 34.80 REPAIR PARTS Voucher No. Warrant No. 368436 Landscape Structures Inc. Allowed 20 SDS 12-0395 P.O. Box 86 Minneapolis, MN 55486-0395 In Sum of$ $ 34.80 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 INVO28958 4237000 $ 34.80 1 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 May 4, 2016 Signature $ 34.80 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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. 368436 Landscape Structures Inc. Terms SDS 12-0395 P.O. Box 86 Minneapolis, MN 55486-0395 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 4/26/16 INVO28958 Playground repair parts xx3615A $ 34.80 Total $ 34.80 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 landscape dilybiCed"INV=028958}� structures® Page 1 of 1 Bill To: C083607 Ship To: C083607 Carmel Clay Parks and Recreation Carmel Clay Parks Maintenance 1411 E 116th Street 1427 E 116th St Carmel IN 46032 Carmel IN 46032 USA USA Project ID Pb008777-04-01 Customer Order XX3615A Dealer 158 Countryside Play Structures, LLC [, —Intioice_lkte --04126/20,16 Ship Via UPS Ground Payment Terms ti Net 30 Day Freight Terms Prepaid Cash Discount Terms. Project Name Carmel Clay Parks&Recreation Order Comments P&M Product Unit of Line Code Item# Description Line Quantity, Measure 1.0 A 210746 Miscellaneous(Tools Only) 60 1.00 EA Miscellaneous (Tools Only) 2.0 A 121133 PIN UPPER SST 60 2.00 EA PIN UPPER SST Equipment $22.80 Delivery Charges $12.00 Playground repair parts XX-3615A GLAccount# 1125419-4237000 Inver Dice-Amount ^�aS "iR ease=include�mvoice•numbe"r"IN.V�028958y and remit-to.:. 7 Landscape Str�uctures'Inc� r c s M ,' a r \to••s"'+?.�'A7+; S©Sit2�0395PO�BOX86"; Minneapolis qMN 55486 OM95/ 1.5%Finance Charge per Month Imposed , Your Account Representative is: After 30 Days of Invoice Date Stacey Schramel 1-888-208-9570 601 7th St.South,Delano,MN 55328 Tel 763.972.5200 888.438.6574 Fax 763.972.3185 • playlsi.com