HomeMy WebLinkAbout260237 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 00350856
d 4al ONE CIVIC SQUARE LEHIGH SAFETY SHOES CHECK AMOUNT: $*******152.99*
CARMEL, INDIANA 46032 PO BOX 644755 CHECK NUMBER: 260237
9 FroN'i� PITTSBURG PA 15264 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1056655 152.99 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
350856
LEHIGH OUTFITTERS, LLC Purchase Order No.
P.O. Box 644755 Terms
Pittsburgh, PA 15264-4755 Due Date 6/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/2016 1056655 $152.99
hereby certify that the attached invoice(s), or bill(s) is (are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
Page 1 of 1
INVOICE
ENIGM Lehigh Outfitters, LLC
a° 39 East Canal Street Customer No. Order No.
01.11FITTERS.con Nelsonville,Ohio 45764 0
Phone:800-848-9452 85893-000 6929456
Fax:(740)753-4024 Invoice Date Invoice No. Due Date
06/13/16 1056655 7/13/16
Bill To: 085893-000 Ship To: 085893-000
1268 1 MB 0.419 E0346X 10582 D1766366017 S2 P3324229 0001:0001
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CARMEL WATER&WASTEWTR CARMEL WATER WASTEWTR
TREATMENT PLANT TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280-2935 317-571-2634
INDIANAPOLIS
------------ - --- -— -- --- -- - - - - — - ------IN --USP. -- ------ - -- ------ ------
Customer's Order Number Mobile Unit Terms
S16202 NET 030 DAYS
Sales Employee Employee Unit March Adj Sales Sery FrU Line Cash Company Employee Pay
Slip Id Name Dept Style W Size Qty price Amt Amt Tax Fee Misc. Total Recv Subsidy Bal Due Ded
605366 PATTON,LONNIE RKWO141 M 11.5 1 152.99 152.99 .00 .00 00000.00 .00 152.99 .00 152.99 .00
Main Marketing Box
Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Line Totals Cash Received Company Subsidy Employee Bal Due
1.0 152.99 0.00 0.00 0.00 152.99 0.00 152.99 0.00
-----------------------------------------------------------------------------------------------
cut here--------------------------------Click here for tracking numbers-set 1
To assure proper credit Please detach this portion and return with remittance.
REMITTANCE ADVICE
Invoice To: PLEASE REMIT PAYMENT TO:
085893-000 Lehigh Outfitters,LLC
CARMEL WATER&WASTEWTR P.O.BOX 644755
TREATMENT PLANT Customer 085893-000
9609 HAZEL DELL PKWY PITTSBURGH, PA 15264-4755 Invoice No. 1056655
INDIANAPOLIS IN 46280-2935
Invoice Date 06/13/16
Summary Total Due 152.99
0001:0001 Amount Paid I S a r l 1
PKI 1 RO P A C K I N G, S L I P Page 1
6/13/16 At 18:13:26
Wh/Co/Div HD RB
LEHIGH OUTFITTERS
(Rocky Boots, Georgia Boots, Ps-15'-12
Durango Boots, Slipgrips, S2V)
LOGAN OH 43138
Ship To: CARMEL WATER WASTEWTR Sold To: CARMEL WATER& WASTEWTR
TREATMENT PLANT TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
317-571-2634 INDIANAPOLIS, IN 46280
INDIANAPOLIS, IN 46280 United States
United States
PO# . . . 516202 Order Date 6/13/16 Pkt Ctl# 6929456000
Customer 085893 Start Date 6/13/16 #of Ctns 1
Store# Cancel Date Weight 4.81
Dept Order,.Nbar. 6929456 Wave# 20160613090
Pkt Nbr 6929456 000 SWC# ?`. 085893 46280
Chute #: PS-15-12 Ship Via FEDG
Style Width Size Item Description Vendor UPC Customer SKU Ship Qty
RKW0141 Medium 11 .5 MEN BRN 11 " WSTRBROWN AND BLUE 718562108910 PATTON, LONNIE 1
Totals 1
*** End Of Report ***