HomeMy WebLinkAbout302569 08/31/16 ,,CAq
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j; `a`. ONE CIVIC SQUARE DUBOIS CHEMICALS CHECK AMOUNT: $*******370.15*
=4 CARMEL, INDIANA 46032 2659 SOLUTION CENTER CHECK NUMBER: 302569
9M��r'G'ri"�°'� CHICAGO IL 60677-2006 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 LEI-815041 370.15 GARAGE & MOTOR SUPPIE
VOUCHER NO. WARRANT NO.. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
DUBOIS CHEMICALS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2659 SOLUTION CENTER IN SUM of$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
,CHICAGO, IL 60677-2006 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$370.15 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
IN-1477685 42-321.00 $370.15 1 hereby certify that the attached invoice(s), or 8/15/16 IN-1477685 $370.15
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 23,2016
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
_INVOICE
tj til S
3630 EAST KEMPER RD,SHARONVILLE,OH 45241
TEL(800)543-4906/FAX(800)543-1720
DUNS 82-823-5445/FED TAXPAYER I.D.80-0244824
Sold To Account#: LEI-815041 Ship To Account#:LEI-815041
CARMEL STREET DEPT CARMEL STREET DEPT
ATTN:ACCOUNTS PAYABLE CARMEL STREET DEPT
3400 W 131 st St 3400 W 131 st St
Westfield, IN 46074 8267 Westfield, IN 46074 8267
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Invoice# : IN-1477685 Date: 8/15/2016 Sales Rep: LUENSMAN, JOHN
Tax Exempt#: Sales Order#: SO-2475834
_ Terms:_ _-Net_30-Days_- - -- -- — - - -- P-,O.-#:-- -- _.._.JAMES BENTLEY--- -- - ---
Page 1
SHIP DATE NET WEIGHT DESCRIPTION SELLING UNITS UNIT PRICE CONTAINER PRICEQUANTITY NET AMOUNT
8/12/2016 500.00 GREENX.055 - 55 GL 6.7300 $370.15 1 $370.15
GREEN XTRA 55G DRUM
SUB TOTAL $370.15
TOTAL INVOICE NET WGT 500.00 CITN TAX $0.00
TOTAL INVOICE GROSS WGT 525.00 LOCAL.TAX $0.00
TOTAL IN OICE ORDER GROSS WGT 525.00 STATE TAX $25.91
Invoice# : IN-1477685 PLEASE REMIT THIS AMOUNT $396.06
Remit To DuBois Chemicals 2659 Solution Center Chicago, IL 60677-2006
We accept Visa,MasterCard,and American Express. Please contact Accounts Receivable at 800-543-4906 to pay by credit card.
Invoice Terms and Conditions are available at www.duboischemicals.com