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308474 02/28/17 G (9, CITY OF CARMEL, INDIANA VENDOR: 366118 M►i*Mt*i - ONE CIVIC SQUARE ACE-PAK PRODUCTS INCCHECKAMOUNT: S 25.80CARMEL, INDIANA 46032 12602 DOUBLE EAGLE DRIVE CHECK NUMBER: 308474 CARMEL IN 46033 CHECK DATE: 02/28/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356003 •A-6283 25.80 SAFETY ACCESSORIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 366118 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER . ACE-PAK PRODUCTS INC IN SUM OF$ CITY OF CARMEL 12602 DOUBLE EAGLE DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CARMEL, IN 46033 Payee $25.80 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 A-6283 43-560.03 $25.80 I hereby certify that the attached invoice(s),or 2/13/17 A-6283 $25.80 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, February 14,2017 Huffman, Dave 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 ACE PAK PRODUCTS INC. INVOICE 12602 Double Eagle Drive Carmel, IN 46033 Invoice Number: A-6283 Invoice Date: Feb 13, 2017 Page: 1 Voice: (317)614-7575 Duplicate Fax (317)6147574 Bill To: Ship to: Carmel Street Department Carmel Street Department 3400 West 131st Street 3400 West 131st Street Carmel,IN 46074 Attn: ERIC RUSSELL Carmel, IN 46074 Customer ID Customer PO Payment Terms 031501 Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date Hand Deliver 2/13/17 3/15/17 Quantity Item Description Backorder Qty Unit Price Amount 12.00 63000901 CLEAR SAFETY GLASSES 2.15 25.80 [RAD64051230] UM/EA Subtotal 25.80 Sales Tax Freight Total Invoice Amount 25.80 Check/Credit Memo No: Payment/Credft Applied TOTAL 25.80