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HomeMy WebLinkAbout302909 09/12/16 r C_qq" ^u * CITY OF CARMEL, INDIANA VENDOR: 370440 ONE CIVIC SQUARE GRAINGER CHECK AMOUNT: $*******851.55* CARMEL, INDIANA 46032 DEPT 804491322 CHECK NUMBER: 302909 PALATINE IL 60038-0001 CHECK DATE: 09/12/16. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350000 9198712417 851.55 EQUIPMENT REPAIRS & M VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) GRAINGER INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DEPT 847517521 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PALATINE, IL 60038-0001 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $851.55 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration 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 9198712417 43-500.00 $851.55 1 hereby certify that the attached invoice(s),or 8/17/16 9198712417 $851.55 1205 101 1205 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,September 06,2016 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 GIRAIINGERe PAGE 1 ORIGINAL INVOICE III- GRAINGER ACCOUNT NUMBER 854052545 9210 CORPORATION DR. INVOICE NUMBER 9198712417 INDIANAPOLIS,IN 46256-1017 INVOICE DATE 08/17/2016 www.grai-nger.com DUE DATE 09/16/2016 AMOUNT DUE $851.55 SHIP TO ATTN:J BARNES PO NUMBER: WEB869267711 CITY OF CARMEL DEPARTMENT: FACILITIES One Civic Square Carmel IN 4032 REQUISITIONER: J BARNES CALLER: JEFF BARNES CUSTOMER PHONE: 3175712443 ORDER NUMBER: 1269912415 [NCO TERMS: FOB ORIGIN BILL TO CITY OF CARMEL/BOARD OF PUBLIC WORK 1 CIVIC SQ CARMEL IN 46032-2584 THANK YOU! FEI NUMBER 36-1150280 FOR QUESTIONS ABOUT THIS INVOICE OR ACCOUNT CALL 1-800-472-4643 PO ITEM# DESCRIPTION QUANTITY UNIT PRICE TOTAL LINE# 1 3UU59 RETROFIT ETROFI TKIT T#RES OC MOUNT,1.6 GPF 3 283.85 851.55 MANUFADelivery#6333946023 Date Shipped:08/17/2016 Carrier:UPS GROUND No:of Pkgs:1 Wt:9.900 Trk#:1Z6Y07A40365145600 Submitted To uilding laintename SEP 0 6 2016 Ac ount # . pD De artment Clerk Treasurer INVOICE SUB TOTAL 851.55 These items are sold for domestic consumption.If exported,purchaser assumes full responsibility for compliance with US export controls.Diversion contrary to US law prohibited. PAYMENT TERMS Net 30 days-PAY THIS INVOICE.NO STATEMENT SENT.PAYABLE IN U.S.DOLLARS. AMOUNT DUE $851.55