HomeMy WebLinkAbout308532 02/28/17 CITY OF CARMEL, INDIANA VENDOR: 00351391
CHECK AMOUNT: $*****5,668.00*
ONE CIVIC SQUARE GEAR GRID
CARMEL, INDIANA 46032 670 SW 15TH STREET CHECK NUMBER: 308532
vM_ FOREST LAKE MN 55025 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 R4467099 24912 0013623-IN 5,668.00 TRAINING FACILITY
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00351391 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GEAR GRID IN SUM OF$ CITY OF CARMEL
670 SW 15TH STREET 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.
FOREST LAKE, MN 55025
Payee
$5,668.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
24912 0013623-IN 44-670.99 $5,668.00 1 hereby certify that the attached invoice(s),or 2/16/17 0013623-IN $5,668.00
1120 Encumbered 102 1120 102
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, February 17,2017
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
� Invoice Invoice Number: 0013623-IN
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Invoice Date: 1/11/2017
GearGrid Corporation
670 15th St SW Order Number: 0018324
Forest Lake, MN 55025 Customer PO: 24912
Phone: (651)464-4468 Fax: (651)464-4780
www.geargridcorp.com Customer Number: 01-0000065
Federal ID#: 41-1690616
GSA M
Bill To: Ship To:
Carmel Fire Dept Carmel Fire Dept
5032 E 131st St Training
Carmel, IN 46033 4925 East 106th Street
Carmel, IN 46033
Bill to Contact: Ship to Contact:
—__ Phone: — --------- --- -- — – - -- - ---- Phone: �- — - -- – --
Ship Date Ship Via F.O.B. Terms
1/5/2017 ABF LTL Carrier Net 30
Pro M 200972690;
Qty. Qty. Qty.
Line Part Number&Description Ordered Shipped Backordered Price Ext.Amount
0001 422003 LKR-Mobile-20Wx72Hx2OD-3openings 5 5 0 888.00 4,440.00
Color: Red Baron
0002 401011 Secure Box Assembly 15 15 0 49.00 735.00
Color: Red Baron
0003 401021 Hanger-Coat-Flat 15 15 0 12.00 180.00
0004 500202 Paint-Spray-Red Baron 1 1 0 0.00 0.00
Net Invoice: 5,355.00
Less Discount: 0.00
Freight: 313.00
Sales Tax: 0.00
Invoice Total US$: 5,668.00
Less Down Payment: 0.00
Invoice Balance US$: 5,668.00
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