HomeMy WebLinkAbout260101 06/28/16 �� . . CITY OF CARMEL, INDIANA VENDOR: 00350779
j ONE CIVIC SQUARE B L ANDERSON CO. CHECK AMOUNT: $*****1,300.53*
CARMEL, INDIANA 46032 4801 TAZER DRIVE CHECK NUMBER: 260101
LAFAYETTE IN 47905 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 P-6394 1,010.53 OTHER EXPENSES
601 5023990 V-16995 290.00 OTHER EXPENSES
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350779
BL ANDERSON Purchase Order No.
4801 Tazer Drive Terms
LAFAYETTE, IN 47905 Due Date 6/9/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2016 P-6394 $1,010.53
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
Date Officer
Invoice B L Anderson Co.,Inc.
4801 Tazer Drive
Lafayette IN 47905
765-463-1518 phone
BLANDERSON765-446-8390 fax
www.blanderson.com
Date Invoice#.
5/3/2016 P76394
Bill To Ship To
CARMEL WATER CARMEL WATER
30-W.Main St. 760 3M Ave.SW
Carmel,IN 46032 Carmel,IN 46074-2036
P.O. Number Terms Rep Ship Date Project
JM42816-A Net 30 RWL 4/29/2016
Quantity Item Code Description Price Each Amount
2 Cla-Val C1425C _. SEAT 100 IQ 316 186.00 372.00
2 Cla-Val00731A O-RING-031 NBR 1.00 2.00
2 Cla-Val C2522F DIAPH ASSY 1-- 1Q& 1HIB 310.00 620.00
1 Shipping and Handling Shipping and Handling 16.53 16.53
TAGGED: PO#JM42816-A
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $1,010.53
f1VOSCE; B L Anderson Co.,Inc.
4801 Tazer Drive
' Lafayette IN 4'1905
1-0
765-463-1518 phone
6
L A D�_p 765-446-8390 fax
www.blanderson.com
Date Invoice#
5/3/2016 V-16995
Bill To Ship To
CARMEL,WATER Carmel Water Treatment Plant 1
30 W.main St. 4915 East 106th Street
Carmel,IN 46032 Indianapolis,IN 46280
Attn: John
P.Q. Number Terms Rep Ship Qat Project
JM42516 A Net 30 US 4/27/2016
Quantity Item Code Description Price Each Amount
2 Cla-Val 9170003K KTT,RPPT CDHS18 TESR TE BR 81.00 162.00
2 Cla-Val C2891E X46A 3/8 x 3/8 SM 64.00 128.00 .
Overdue balance will
accrue interest at the rate of
1-1/2%per month.
compounded plus legal and
collection fees.
Total $290.00
Packing Slip Report and Certificate of Conformance
4/29/2016 8:34:47 AM
From: From Warehouse: DALS Packing Slip: 165287
Cla-val Co-Dallas Warehouse
8707 Forney Road
Dallas TX 75227
US
Marvin Lake
214-388-3493
Bill To: 2151 Ship To: (447)
BL ANDERSON CO INC CARMEL WATER TREATMENT PLANT 1
4801 TAZER DRIVE 4915 EAST 106TH STREET
LAFAYETTE IN INDIANAPOLIS IN 46280
47905 US
US 765-463-1518
765-463-1518 EXT.224
Order Contact: Ship Early:
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIL - Ship Partial: _
{Pack Date Order Oust PO/,Ship P0. Freight,Term`s7Account`Carrie'r Glass of Service Weight Pkgs'1
!'
4/29/2016 182134 042816RLI Prepaid and Charge UPS Ground 0.00 0
Packing Instructions: TAG PO:JM42816-A
Line/Rel Item IN Qty Ordered Qty To Pack
1 C1425C EA 2.000 2.000
SEAT 100 1Q316
2 00731A EA 2.000 2.000
O-RING -031 NBR
3 C2522F EA 2.000 2.000
DIAPHASSY 100 IQ& 1H1B
Received : 2e�
Date :
ACCT # :
Use :
Certificate of Conformance/Compliance/Origin
This is to certify that the material shipped against your purchase order has been manufactured according to Cla-Val standards
and was inspected at our factory in Costa Mesa,California.The merchandise is of USA origin.
Neil-Richey
Quality Assurance Ma ager ssrs v10 9/14/2015
CVC Griswold Industries mlake Noe t of t
B L Anderson Co.,Inc. fib Packing Slip
4801 Tazer Drive 61
Lafayette IN 47905 BLANDERSON Date S.O.No.
765-463-1518 phone
4/25/2016 042516-2TJS
765-446-8390 fax
Ship To
Carmel Water Treatment Plant 1
4915 East 106th Street
Indianapolis,IN 46280
Attn: John
P.O. No. Ship Date Ship Via FOB Project
JM42516-A 4/25/2016 Best Way prepaid/added
Item Description Shipped Ordered
Cla-Va19170003K KIT,RPPT CDHS18 TESR TE BR a 2
Cla-Val C2891 X46A 3/8 x 3/8 SM o2 2
Received:
Dater Z S�
ACCT #:. - `f
Use: lin�- / Pr 7, -,Ta,
Signature
Date