HomeMy WebLinkAbout321162 1/25/2018 �r 4� CITY OF CARMEL, INDIANA VENDOR: 372194" **"*,,,
ONE CIVIC SQUARE GLYEC0:02 CHECK AMOUNT: $ 743.56
' 3455 E SAINT CLAIR ST CHECK NUMBER: 321 162
CARMEL, INDIANA 46032 CHECK DATE: 01/25/18
INDIANAPOLIS IN 46201
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231500 247858 743.56 OIL
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372194
GLYECO 02 IN SUM OF$ CITY OF CARMEL
3455 E SAINT CLAIR ST 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 46201
Payee
$743.56
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Fire 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
247858 42-315.00 $743.56 1 hereby certify that the attached invoice(s),or 1/22/18 247858 $743.56
1120 101 1120 101
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 22,2018
David Haboush
Fire Chief
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CUSTOMER NO. DATE INVOICE,NO.
8087 1/16/2018 02-247858
DATE SHIPPED ASSOC NO.
GLYECO
Innovative Green Chemistry 1/15/2018 B/L#247858
Page 1 of 1
SOLD TO. SHIP TO:
ATTN: Accounts Payable
City of Caramel Fire Dept City of Caramel Fire Dept
4925 W 106th Street 4925 W 106th Street
Caramel,IN 46033 Caramel,IN 46033
CUST'ORDER NUMBER F.O.B. FREIGHT SHIPPED VIA AGENT TERMS
0.0000 00 Cash in Advance
s • • AMOUNT
116 1 G BLK-Retail A85 EG 50/50 116 $6.4100 $743.56
Merchandise Total $743:56
THIS INVOICE IS BOUND BY OUR STANDARD TERMS AND CONDITIONS. FOR A COPY,CONTACT GLYECO.PLEASE PAY FROM THIS INVOICE.
PLEASE INCLUDE INVOICE NUMBER WITH REMITTANCE.ALL ANTIFREEZE/COOLANT IS 50/50 PREMIXED—UNLESS OTHERWISE NOTED.
CREDIT CARD PAYMENTS ACCEPTED. PLEASE CALL 866-960-1539. UNLESS OTHERWISE AGREED TO IN ADVANCE, PAYMENT IS EXPECTED AT
TIME OF DELIVERY.LATE PAYMENTS ARE SUBJECT TO A 2.0%,OR LESSER AMOUNT AS REQUIRED BY LAW,PER MONTH LATE FEE,
CALCULATED FROM THE DAY OF DELIVERY.RETURNED CHECKS ARE SUBJECT TO A$25 RETURNED CHECK CHARGE.
PLEASE REMIT TO:
GlyEco-IN . $743.56
P.O. Box 10112
Rock Hill,SC 29731 PLEASE PAY
THIS AMOUNT
Print Name: Signature: