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319821 12/21/2017
CITY OF CARMEL, INDIANA VENDOR: 371662 ONE CIVIC SQUARE EARTH TOOL COMPANY LLC CHECK AMOUNT: $...**2,860.80* x ,4 CARMEL, INDIANA 46032 500 SOUTH CP AVENUE CHECK NUMBER: 319821 9y, LAKE MILLS WI 53551 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 652 5023990 159154 2,860.80 OTHER EXPENSES VOUCHER NO. 176955 WARRANT NO. 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED Vendor# 371662 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER EARTH TOOL CO/ HAMMERHEAD CITY OF CARMEL 500 SOUTH C.P. AVENUE An invoice or bill to be properly itemized must show: kind of service,where performed, LAKE MILLS, WI 53551 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee $2,860.80 371662 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR EARTH TOOL CO/ HAMMERHEAD Terms Carmel Wasterwater Utility 500 SOUTH C.P.AVENUE Due Date BOARD MEMBERS I hereby certify that that attached invoice LAKE MILLS,WI 53551 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 159154 $2,860.80 and received except 12/12/2017 159154 $2,860.80 p�precia€i©' ° 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer EARTH TOOL COMPANY, LLC _ 500 SOUTH C.P. AVENUE REMIT To. 159154 1 EARTH TOOL COMPANY,LLC LAKE MILLS, WI 53551 500 SOUTH C.P.AVENUE USA LAKE MILLS,WI 53551 12/08/2017 Tel: 920-648-4848 Fax: 920-648-1780 HANM=RH=AD® TMWCUMS EQUIPMENT Bill To: Ship To: Carmel Waste Water Treatment Carmel Waste Water Treatment Paul Arnone Duane Jarvis 9609 Hazel Dell Parkway 9609 Hazel Dell Parkway Indianapolis, IN 46280 Indianapolis, IN 46280 US US 100562 12/07/2017 5623 ET 11'09 NATHANAEL HRABOSKY S17892 10 Logistics(over 15011 ■ PR-PACK1215FT48 1.0000 1.0000 USD 3,840.00 EA 12-15"X48" FT PACKER -68.75% 1,200.00 PR-REGULATOR 1.0000 1.0000 USD 285.00 EA AIR REGULATOR(3"TO 24") 285.00 PR-PUSHROD 20.0000 20.0000 USD 53.50 EA PUSH ROD - 5' 1,070.00 PR-ADAPTER 2.0000 2.0000 USD 30.00 EA FLEX ADAPTER 60.00 Comments: shpd 12-7-2017 Sales Amount: 2,615.00 USD XPO# 533-996153 Packaging &Handling: 0.00 USD Freight: 245.80 USD r Sales Tax: 0.00 USD SubTotal: 2,860.80 USD Amount Received: 0.00 USD Payment terms: NET 30 DAYS (Q2003 Etat Software