HomeMy WebLinkAbout320992 01/17/18 CITY OF CARMEL, INDIANA VENDOR: 371892
. d ?•: ONE CIVIC SQUARE ACS-INDY EAST
CHECK AMOUNT: $*******100.55*
d ,=a CARMEL, INDIANA 46032 3741 N SHADELAND AVE CHECK NUMBER: 320992
INDIANAPOLIS IN 46226 CHECK DATE: 01/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 1450402 100.55 PAINT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371892 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ACS-INDY EAST IN SUM OF$ CITY OF CARMEL
3741 N SHADELAN D AVE 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.
INDIANAPOLIS, IN 46226
Payee
$100.55
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
1450402 42-364.00 $100.55 1 hereby certify that the attached invoice(s),or 1/11/18 1450402 $100.55
2201 2201 2201 2201
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
Monday,January 15,2018
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. I
Clerk-Treasurer
06 -ACS-Indy East INVOICE
3295 North Shadeland Avenue
Indianapolis, IN 46226
P: (317)541-0221
F: (317)549-2057
Bill To: Ship To: Printed: 1/11/2018 9:47:16AM
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 PURCHASE ORDER TAX ORDER COUNTER
NUMBER DATE CODE NUMBER CODE TERMS NUMBER SHIP VIA CODE
1450402 1/11/2018 14 8 2% 10th, NET EOM 8 Delivery 99
--
H ITEM NUMBER ITEM DESCRIPTION T ORDERED SHIPPED UNIT NET TOTAL
M
X 771 OS/QT "Chromaseal"-"Valueshade" 1 1 QT 72.10 72.10
Sealer-#1
7775S/80Z "Chromabase""4-To-1" 1 1 801 28.45 28.45
Activator-70F-80F
SUB TOTAL: 100.55
TOTAL DUE: 100.55
Signature: BALANCE DUE: 100.55
Emergency Response Contact:1(800)424-9300 CCN706033
1 HM Hazardous Material Description #Pks Unit Total W.
X LIN 1263,Paint,3,PGIII LTD.QTY. 1 QT 3.1
�+ TOTAL 3.1
I
i
1
1
J
f
Total Taxable: Total Due:$100.55
i
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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