HomeMy WebLinkAbout260080 06/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 354958
ONE CIVIC SQUARE ACCURATE LASER SYSTEMS, INC CHECKAMOUNT: 5"`"""143.07"
CARMEL, INDIANA 46032 10660 ANDRADE DRIVE CHECK NUMBER: 260080
ZIONSVILLE IN 46077 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 96813 143.07 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ACCURATE LASER SYSTEMS, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
10660 ANDRADE DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ZI ONSVI LLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$143.07 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
96813 42-390.11 $143.07 1 hereby certify that the attached invoice(s),or 6/16/16 96813 $143.07
2201 201 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,June 21, 2016
Mpept,commissioner
�a
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
10660 Andrade Drive V®��e
ir-1z.Zionsville, IN 46077
Ph# 317-873-5611 Fax# 317-873-5770 Receipt Date Receipt Numb...
6/16/2016 96813
Bill To
CITY OF CARMEL
3400 WEST 131ST STREET
WESTFIELD IN 46074
P.O. Number Project Terms Rep Ship Via F.O.B.
Net 30 JP 6/16/2016 UPS Our Shop
Item Code Description Quantity Price Each Amount
Z-606 SS PAINT MARKING WAND 1 23.08 23.08
RRT12 SS WHL KESON"12 DIAMETER PLAS 1 119.99 119.99
Subtotal $143.07
Sales Tax (7.0%) $0.00
Total $143.07
Payments/Credits $0.00
Balance Due $143.07
ACCURATE LASER SYSTEMS, INC .
10660 Andrade Drive
Zionsville, Indiana 46077
(317) 873-5611
Phone : (317) 873-5611 Fax : (317) 873-5770
R E C E I P T
CITY
CITY OF CARMEL DATE = Jun 13 , 2016
DAVE HUFFMAN
3400 WEST 131ST STREET
WESTFIELD, IN 46074
Date 06/13/16 Time 11 : 06 AM No . 96813 Page 1 Cust . Ref
-------------------------------------------------------------------------------
Pmt . Ref . Sales Rep JP
Pmt . Ref .
- ------------------------------------------------ ------------------------------
Item # Description Ordered Unit Price Extended
--------------------------------------------- -----------------------------------
Z-606 SS PAINT MARKING WAND 1 . 0 23 . 0800 23 . 08
RRT12 SS WHL KESON 1112 DIAMETER 1 . 0 119 . 9900 119 . 99
PLAS
Sub-Total 143 . 07
Tax 0 . 00
Net Due 143 . 07
Amt . Paid 0 . 00
Balance Due : 143 . 07