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Home My WebLink About304630 10/31/16 �4l �' CITY OF CARMEL, INDIANA VENDOR: 368402 ® i1 ONE CIVIC SQUARE I D S CHECK AMOUNT: $*******348.30* :9 ,�; CARMEL, INDIANA 46032 2717 TOBEY DRIVE CHECK NUMBER: 304630 MUTON�o. INDIANAPOLIS IN 46219 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 0180222-IN 348.30 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) S ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ID 2717 TOBEY DRIVE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, I N 46219 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $348.30 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 0180222-IN 42-389.00 $348.30 1 hereby certify that the attached invoice(s),or 10/19/16 0180222-IN $348.30 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 Monday, October 24,2016 /On. 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 c�tttttttarr`tc z (317)-545-0665 i (317)-545-0670 invoice _ #YIaIIS,t� Customer No: 0105029 c Invoice No: 0180222-IN 2717 Tobey Dr Indianapolis, IN 46219 Bin To: City of Carmel Street Dept. Ship To: City of Carmel Street Dept. 3400 W. 131 st Street 3400 W. 131 st Street Westfield, IN 46074 Westfield, IN 46074 Date: Ship VIA F.O.B. Tracking No. Terms 10/19/2016 WILL CALL Net 30 Purchase Order No. Order Date Account Representative Our Order Number Keystone. 10/18/2016 John Heinzelman 0091087 Quantity _ Required Shipped B.O. Item Number Description Unit Price Amount 30.00 30.00 0.00 CS20/40' .20/40 Coal Slag (100/lbs per bag) 11.6100 348.30 Net Invoice: 348.30 Less Discount: 0.00 Freight: 0.00 Sales Tax: 0.00 Invoice Total: 348.30 SEE WARNING ON REVERSE SIDE OF THIS DOCUMENT. THANK YOU FOR YOUR BUSINESS ` . / THE SANDBLASTINGSITE-YOU "HAVE"BEE'NMISHING -,F",, R ro -Abrasive Quotes Used Equi."' nt o'_Rentak/ Tme MOM th ah.,3200,--sa nd Ilia sting,,produ as on ine now. jr —%!out �!&oulx V Ikeno LAI A A WARNING These products and equipment are not under any circumstances to be used with sand or silica products of any type and use of such materials will void any warranty.Also,as with the use of any product or equipment you must be sure to use the proper safety equipment and to properly tminyouremp!oyeesintheuseofanyequipmenturpmducts.Themahufactuer,who|esa|eranddistributorassumenoresponsi6iUtyarising from the failure to use proper safety equipment or the failure to properly train employees in the use of products and equipment. em ��,81ift1[Q jl) (317)-545-0665 Packin Slip w} © t (317)-545-0670 g p VIAI{ Customer No: 0105029 j Order No: 0091087 2717 Tobey Dr Shipping No: 0180222 Indianapolis, IN 46219 Bill To: City of Carmel Street Dept. Ship To: City of Carmel Street Dept. 3400 W. 131 st Street 3400 W. 131 st Street Westfield, IN 46074 Westfield, IN 46074 Date: Ship VIA i F.O.B. Terms 10/18/2016 WILL CALL I Net 30 Purchase Order Numbe Required Date . Account Representative Order Entered By Our Order Number Keystone 10/192016 John HeinzelmanJIB 0091087 Quantity Reauired Shiooed B. U/M Item Number Description FL 30 30 0 EACH CS20/40 20/40 Coal Slag(100/lbs per bag) -z2 � Picked By Packed By Package Count Weight Charges SEE WARNING ON REVERSE SIDE OF THIS DOCUMENT. THANK YOU FOR YOUR BUSINESS Please note: There is a 20%re-stocking fee on all customer returns. THE SANDIB,LASTING.S17E YO U`HAVE"-BEE NMISOIN G-,FOR Parts SUPP More th'an-3200.1sandblasthg Ucts on-. now! twat, ' It all ,Rh AWARNINGA These products and equipment are not under any circumstances to be used with sand or silica products of any type and use of such materials wil I void any warranty.Also,as with the use of any product or equipment you must be sure to use the proper safety equipment and to properly train your employees in the use of any equipment or products.The manufacturer,wholesaler and distributor assume no responsibility arising from the failure to use proper safety equipment or the failure to properly train employees in the use of products and equipment.