HomeMy WebLinkAbout260182 06/28/16 ia:�.F4gyf.
CITY OF CARMEL, INDIANA VENDOR: 365417
�I ONE CIVIC SQUARE GLENROCK COMPANY CHECK AMOUNT: S```*****48.00`
CARMEL, INDIANA 46032 PO BOX 95279 CHECK NUMBER: 260182
PALATINE IL 60095 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1288176 48.00 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
365417
GLENROCK COMPANY Purchase Order No.
4330 HULL ST STE 300 Terms
INDIANAPOLIS, IN 46226 Due Date 6/9/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2016 1288176 $48.00
1 hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
j
IN VOI '
Remit`to'." .
INVOICENUMBER
G1er ock Company
1288176
P:O.Box"95270"
P
- ,T�zvtiice.Date
pa, IL 60095 E
5/2t20L614 23 35�. l of l
63)0-530-0600 A ORDER NLMBER
" 1.321319
F 1i1I To: Ship.To '
City of Camrel/Street Dcparti 't City..6t Carmel/Sheet;"Depaitri ent:
3406 W. 131'st Street WILL,;CAS L
Carmel,IN,46074 IN`
Customer ID..1.5998
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TFG►Nttrnbt?r TerritsDa>scrtphon Ned nue Date Pritntrry Salesrep Nartte
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water _ Net 3Q' 6/25/2016 Account House,Indtaaa,
QrtferDafe I'rck�'ic.lttNn: Larrter- Taker
S113f 016:11 09:1;1 131.81"0:1`
WILL
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1.00 1.00 0.00 3011260RU- UNT" 48:00 48.00
ImCb,'060 MG KRETE REG$AG 50LB& 1 GA11.0000
Total Lines;lSUB-T6..TAL: 48.00
/
AMOUNT DUB: 48:00"
U.S'flollius
YOU CAN ALSO CHECK US OUT OINL/N8 AT:
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ORIGINAL
Glenrock Company
GLENROCK PICK TICKET
Pick Ticket Number
131 et N
4330 Hull Street, Suite 300
Indianapolis,IN 46226 Company
Date 01 Page
317-542-8400 Company 5/13/2016 13:04:501 1 of 1
Bill To: Order Number
Ship To: 1321319
City of Carmel/Street Department City of Carmel/Street Department
3400 W. 131st Street WILL CALL
Carmel,IN 46074
317-733-2001 IN
Customer ID: 15998
PO Number Carrier Taker
Water Department WILL CALL-CUSTOMER P/U TGILPIN
Quantities
Item ID UOM
Ordered Allocated Picked Disp. Item Description Unit Size
1.00 1.00 36I1260RU UNT
IMCO 1260 MG KRETE REG BAG 50LB& 1 GAL 1.0
Total 1
Total 1
Total 60.
�i
SWHSE: Cust. Sig: Print: Terory M
* COmplete Order