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HomeMy WebLinkAbout302140 08/22/16 CITY OF CARMEL, INDIANA VENDOR: 365417 (9, ONE CIVIC SQUARE GLENROCK COMPANY CHECK AMOUNT: $r*""""*720.00* CARMEL, INDIANA 46032 PO BOX 95279 CHECK NUMBER: 302140 PALATINE IL 60095 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 1295759 720.00 CEMENT i VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GLENROCK COMPANY IN SUM OF$ CITY OF CARMEL PO BOX 95279 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PALATINE, IL 60095 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Payee $720.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1295759 42-362.00 $720.00 1 hereby certify that the attached invoice(s),or 8/1/16 1295759 $720.00 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 ordered and received except Tuesday,August 09, 2016 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 INVOICE Remit to: � INVOICE NUMBER Glenrock Company 1295759 P.O.Box 95279 Palatine,IL 60095 MUCK Invoice Date Page 630-530-9600 8/1/2016 10:48:27 1 of 1 Company ORDER NUMBER 1329540 Bill To: Ship To: City of Carmel/Street Department City of Carmel/Street Department 3400 W. 131st Street WILL CALL Carmel,IN 46074 IN Customer ID: 15998 PO Number Terms Description Net Due Date Primary Salesrep Name Shop Ron Net 30 8/31/2016 Account House Indiana Order Date Pick Ticket No Carrier Taker 7/21/2016 10:55:44 1326793 WILL CALL-CUSTOMER P/U DBAILEY Quantities Pricing Item ID POM Unit Extended Ordered Shipped Remaining Item Description Unit Size Price Price 15.00 15.00 0.00 36I1260RU UNT 48.00 720.00 IMCO 1260 MG KRETE REG BAG 50LB& 1 GAL1.0000 Total Lines:I SUB-TOTAL: 720.00 TAX. 0.00 AMOUNT DUE: 720.00 U.S.Dollars YOU CAN ALSO CHECK US OUT ONLINE AT: www.GlenrockCompany.com ORIGINAL Glenrock Company Order Number 4330 Hull Street, Suite 300 GLENROCK ORDER ACKNOWLEDGEMENT 1329540 Indianapolis, IN 46226 Order Date Page 317-542-8400 Com an 7/21/2016 10:55:44 1 of 1 Bill To: Ship To: City of Carmel/Street Department City of Carmel/Street Department 3400 W. 131st Street WILL CALL Carmel, IN 46074 IN 317-733-2001 Customer ID: 15998 PO Number Job Contact: Taker Shop Ron DBAILEY Quantities Item ID UOMg Unit Extended Q. Ordered Allocated Picked Item Description Unit Size Price Price 15.00 1.00 J B 36I1260RU UNT 48.00 720.00 l IMCO 1260 MG KRETE REG BAG 50LB& 1 GAL 1.0 Total I SUB-TOTAL: 720.00 TAX: 0.00 AMOUNT TENDERED: 0.00 AMOUNT D UE: 720.00 U.S. Dollars WHSE: Cust. Sig. / "� Print: