HomeMy WebLinkAbout302081 08/22/16 u .C9q
CITY OF CARMEL, INDIANA VENDOR: 055000
it ONE CIVIC SQUARE CERTIFIED LABORATORIES CHECK AMOUNT: $*******349.00*
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 302081
+�'irox CHICAGO IL 60673-1232 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 2398585 349.00 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CERTIFIED LABORATORIES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
23261 NETWORK PLACE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be property itemized must show:kind of service,where performed,dates service
CHICAGO, IL 60673-1232 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$349.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course 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
2398585 43-500.00 $349.00 1 hereby certify that the attached invoice(s),or 7/28/16 2398585 Repair Parts $349.00
1207 101 1207 101
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
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VOEU CAN RELY ON INVOICE
iC /PIED
ORIGINAL COPY Page: 1 of 1
ImEmpp-
mpp-
Remittance Address _y
CORRESPONDENCE TO ORDERS CALL #1-800-527-9929 CERTIFIED LABORATORIES
PO BOX 2493 AX #1-972-438-0634 23261 NETWORK PLACE
FT WORTH TX 76113-2493 CHICAGO,IL 60673-1232
W W.CERTIFIEDLABS.COM
Sold To; Ship.To,
Attn: ACCOUNTS PAYABLE Attn: RUSSELL PICKETT Sign up to receive your
next invoice via email
BROOKSHIRE GOLF COURSE BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY or pay your next invoice
CARMEL IN 46032 CARMEL IN 46032
ach/efUdirect deposit
simply email us at
cac.credit@nch.com
Customer No... - Billing Date Terms- Dee Date Ship Date Sales Order-
588252 28-JUL-16 10 NET 07-AUG-16 28-JUL-16 2598530
Invoice-No.--- --: Purchase Oder-N6.- .—`—— _- `— Sales Rep.'No. Sale`s Rep..Nlame-' — —
2398585 SHOP USCL223T PARAMSKI,Mr.DAVID PATRICK(DAVE)
Product QtyOrdered _,Description' Packaging Qty Billed `Unit Price. Amount
10032735 1 PREMALUBE,CS/48(FIBER),NAC CL CS 1.00 349.00 349.00
V�1
Merchandise ; State Tax Local'Tax "k Shipping Split Inv.No. Currency Total unt
349.00 24 0.00 '0.00 USD 473.43
- — IN - Tax-ID#0003512371-001-3 Federal ID#75-0497260-
CERTIFIED LABORATORIES,DIVISION OF NCH CORPORATION 1 ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST
BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS.MERCHANDISE NOT ACCEPTED FOR CREDIT WITHO N
CONSENT.-**-DISTRIBUTION SERVICES INCLUDE SHIPPING&HANDLING CHARGES—F.O.B.INDIANAP