315546 08/30/2017 9F, CITY OF CARMEL, INDIANA VENDOR: 371892
® ONE CIVIC SQUARE ACS-INDY EAST CHECK AMOUNT: $**.....987.10*
��, rQ; CARMEL, INDIANA 46032 3741 N SHADELAND AVE CHECK NUMBER: 315546
+,w. INDIANAPOLIS IN 46226 CHECK DATE: 08/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 1419864 987.10 PAINT
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06 -ACS-Indy East INVOICE
3741 North Shadeland Avenue
Indianapolis, IN 46226
P: (317)541-0221
F: (317)549-2057
Bill To: Ship To: Printed:8/23/2017 10:13:37 AM
Carmel Street Department-3546 Same As Customer-3546
3400 W. 131 st St.
Carmel, IN 46074
P: (317)733-2001 F: (317)733-2005 Technician:
INVOICE INVOICE SLSM i PURCHASE ORDER TAX I TERMS ORDER I SHIP VIA COUNTER
NUMBER DATE ICODEI NUMBER CODE ! NUMBER ! CODE
1419864 ; 8/23/2017 14 i 8 10 DAY APP WAIT 8 I Delivery 99
j
H ITEM NUMBER ITEM DESCRIPTION T ORDERED I SHIPPED UNITNET TOTAL
M
I
X '*K/QT '!Chromabase Basecoat 1 1; QT 138.60 138.60
.........
X *K/GL lChromabase Basecoat 1 1 GL 474 00 474.00
886J/QT Transparent Red 1; 1; QT 374.50; 374.50
_..... .
SUB TOTAL: 987.10
TOTAL DUE: 987.10
Signature: BALANCE DUE: 987.10'
Emergency Response Contact:1(800)424-9300 CCN706033
HM, Hazardous Material Description #Pks Unit Total Wt. 3
X :UN1263,Paint,3,PGII LTD.QTY. 1 ( QT 0
i
X ;UN 1263,Paint,3,PGII 1 GL 0
TOTAL- 0
Total Taxable: Total Due:$987.10''
For CHEMICAL EMERGENCY Spill Leak Fire Exposure or Accident call CHEMTREC day or night within USA and Canada: 1-800-424-9300 CCN706033 or 1-703-527-
3887 collect calls accepted
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