HomeMy WebLinkAbout320813 01/17/18 �i ur.CgA'y
CITY OF CARMEL, INDIANA VENDOR: 00352593
b ONE CIVIC SQUARE LOY INSTRUMENTS INC CHECK AMOUNT: S"""'660.38'
CARMEL, INDIANA 46032 PO BOX 19426 CHECK NUMBER: 320813
INDIANAPOLIS IN 46219-0426 CHECK DATE: 01/17/18
DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 305716 660.38 OTHER EXPENSES
VOUCHER NO. 177170 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No. 201(Rev 1995)
Vendor # 352593 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
LOY INSTRUMENT INC. CITY OF CARMEL
PO BOX 19426 An invoice or bill to be properly itemized must show: kind of service,where performed,
Indianapolis, IN 46219-0426 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
660.38 352593 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR LOY INSTRUMENT INC. Terms
Carmel Wasterwater Utility PO BOX 19426 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice Indianapolis, IN 46219-0426
(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
305716 01-7202-06 $660.38 and received except 12/28/2017 305716 $660.38
'A
41
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
LOY INSTRUMENT, INC. in coINVOICE
P.O. BOX 19426
8455 E. 30TH STREET
INDIANAPOLIS,IN. 46.219
Phone: 317-890-0474 2 Number - 305716
�r91111AEN�`a Date 12/14/2017
Page 11
Bill To: CARMEL WASTE WATER TREATMENT Ship To: CARMEL WASTE WATER TREATMENT
12209 9609 HAZEL DELL PARKWAY SAME 9609 HAZEL DELL PARKWAY
ATTN:ACCOUNTS PAYABLE ATTN: ACCOUNTS PAYABLE
INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280
I�I��I�II�n�I�IInI�IIn�II�nI
Reference.# Shipped Salesperson Terms Tax Code Doc# Wh Freight Ship Via
S17925 12/14/17 04 ROGER STEP NET 30 INXXX 258330 01 PRE/ADD FEDEX
Item DescriptionOrdered Shipped Backordrd' UM PriceUM Extension
S262SG02N3JK4 ASCO/ITT 2"NPT SAFE 1 1 0 EA 644.24 EA 644.24
SHUTOFF VALVE
TRACK# 1 Z441066035273767
"Merchandise" Misc Discount Tax Freight Tota/Due
For Terms & Conditions see 644.24 .00 .00 16.14 660.38
www.loy-instrument.com
Remit To: P.O. Box 19426 Indianapolis, IN 46219-0426
Do not write below this line Customer Copy Last Page
SOINV 01-305716
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