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CITY OF CARMEL, INDIANA VENDOR: 370520:ONE CIVIC SQUARE GULF ATLANTIC SUPPLY CHECK AMOUNT: $*******158.00*CARMEL, INDIANA 46032 765 ROCKHURST DRIVE CHECK NUMBER: 320445
BIRMINGHAM AL 35209 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2142 158.00 OTHER EXPENSES
VOUCHER NO. 177121 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 370520 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
GULF-ATLANTIC SUPPLY CITY OF CARMEL
765 ROCKHURST DRIVE An invoice or bill to be properly itemized must show: kind of service,where performed,
BIRMINGHAM,AL 35209 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
158.00 370520 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR GULF-ATLANTIC SUPPLY Terms
Carmel Wasterwater Utility 765 ROCKHURST DRIVE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice BIRMINGHAM,AL 35209
(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
2142 01-7200-01 $158.00 and received except 12/27/2017 2142 $158.00
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
GJAIS INVOICE
Gulf Atlantic Supply --
DATE:
REMIT TO: INVOICE# 2142
GULF ATLANTIC SUPPLY Customer ID
765 ROCKHURST DRIVE
BIRMINGHAM, AL 35209
888.662.1716
SHIP TO (if different),
CARMCL.
- -
CARMCL.WASTE WATER
9609 HAZEL DALE PKWY
- INIDANAP-OLIS.IN 46280
317.571.2634
• • sw DA -SHIP VFA • •
"GWENN142 CALL IN 1-12/21/2017 UPS I DEST
--- DESCRIPTION--- - -- ..
682P 3034 WORK PANT 5 28.00 `;:-,:: : 140.00
SUBTOTAL $140.00
Ofher Comments or_Spec�al Instructions � � TAX RATE - --
Thank You For Your Businessl TAX
SEiH 1 $18.00
EMAIL: GulfAtlantic5upply@gmail.com OTHER
TOTAL '$158.00;.
Find us on the web www.GASafetywear.com
Gulf Atlantic Supply
If you have any questions about this invoice, please contact
GutfAtianticSuppy@gmaii.com
Thank You For Your Business!