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HomeMy WebLinkAbout301762 08/08/16 I 0,W CITY OF CARMEL, INDIANA VENDOR: 366310 ONE CIVIC SQUARESCHAFER POWDER COATING INCCHECK AMOUNT: $""«`«230.00•CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK NUMBER: 301762 CARr EL IN 46032 CHECK DATE: 08/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 90749 230.00 OTHER CONT SERVICES. I i i i VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SCHAFER POWDER COATING INC 4518 W 99TH STREET IN SUM of$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $230.00 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 90749 43-509.00 $230.00 1 hereby certify that the attached invoice(s),or 7/29/16 90749 $230.00 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-orde[ed_and received except Tuesday,August 02,2016 lja,— � Dave Huffman Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Schafer Powder Coating, Inc. INVOICE 4518 West 99th Street, Carmel, IN 46032 INVOICE#: 90749 COST.M City of Carmel Eric PH:(317)733-2001 BILL TO: I SHIP TO: City of Carmel City of Carmel One Civic Square One Civic Square Carmel, IN 46032 I Carmel IN 46032 INVOICE DATE_ _ PO#_ W/O#_ j SALESPERSON TERMS f _ SHIP VIA 07/29/2016 See Below i See Below Net 30 Days Customer Truck BORDER QTY: I_SHIPPED QTY. I .PART NUMBER PART DESCRIPTION UNIT PRICE EXT_PRICE 1 I 1 Bike Rack Bike Rack 230.000 lea. $230.00 i Shipped:07/29/2016 I PO:07252016 P/L:93842 j w/O: 134676 i I i I I I ' SUBTOTAL:! $230.00 Surcharge: ! 0.00 Cert: i0.00 , Tax l: 0.00 Tax 2: 0.00 Charges: 0.00 Freight: 0.00 j Page 1 of 1 INVOICE ISO TOTAL: i $230.00 ` Schafer Powder Coating, Inc. PACKING LIST 4518 West 99th Street Carmel, IN 46032 Phone: (317) 228-9987 Fax: (317) 228-9991 PACKING LIST#: 93842 P/L DATE: 07/29/2016 SOLD TO: SHIP TO: City of Carmel 1 City of Carmel One Civic Square One Civic Square Carmel, IN 46032 Carmel IN 46032 Ship: Customer Truck Total Ctns: 0 Eric PH:(317)733-2001 FAX: UNITS;SHIPPED. PART# - f" DESCRIPTION PO# W/04 ' 1 qty. Bike Rack Bike Rack 0 B/O Process., Sand Blast 07252016 134676 Primer&Medium Black Ctns:0 I i I Received by: Date: Total Wt: 0.00 grams Page 1 of 1 PACKING LIST ISO 7/29/2016 8:11:57 AM