HomeMy WebLinkAbout260138 06/28/16 ; .• CITY OF CARMEL, INDIANA VENDOR: 06600Q
® 1 ONE CIVIC SQUARE CORRELATED PRODUCTS INC. CHECK AMOUNT: $*******129.08*
?4 CARMEL, INDIANA 46032 PO BOX 42387 CHECK NUMBER: 260138
INDIANAPOLIS IN 46242-0387 CHECK DATE: 06/28/.16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 99467-IN 129.08 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
CORRELATED PRODUCTS INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 42387 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46242-0387 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$129.08 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
99467-IN 42-389.00 $129.08 1 hereby certify that the attached invoice(s),or 6/14/16 99467-IN $129.08
1120 101 1120 101
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,June 14;2016
David Haboush
Fire Chief
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Remit to:
Invoice P.O. Box 6457- Dept.#274
Indianapolis, IN 46206
Correlated Products, Inc./Road Solutions Inc. Invoice Number: 0099467-IN
Industrial Maintenance Invoice Date: 6/7/2016
5616 Progress Road Customer Number: . 9001001
P.O. Box 42387
Indianapolis, IN 46242-0387
(800)428-3266
Sold To: ShiD To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPT STATION 42
ATTN: DENISE SNYDER ATTN: SCOTT OSBOURNE
2 CIVIC SQUARE 3610 W. 106th STREER
CARMEL, IN 46032 CARMEL, IN 46032
Customer P.O. Ship VIA Terms
_ NET 15 DAYS
Ordered Shipped Back Ord Unit Item Code Description Price Amount
4 4 0 EA 90-FG 60� FIBREGLASS QUICK CHG HNDLE 15.00 60.00
8 8 0 EA 6631-124 24 oz.WET MOPS (RAM) 7.76 62.08
Net Invoice: 122.08
Freight/PMSurchg 7.00
Sales Tax: 0.00
Invoice Total: 129.08