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HomeMy WebLinkAbout321185 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 178450 d 1 ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN CHECK AMOUNT: 5*******460.10* ?� CARMEL, INDIANA 46032 170 CHERRY AVE CHECK NUMBER: 321185 WEST SAYVILLE NY 11796-1221 CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 115049 460.10 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 178450 IN SUM OF$ CITY OF CARMEL KUSSMAUL ELECTRONICS CO IN 170 CHERRY 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. WEST SAYVILLE, NY 11796-1221 Payee $460.10 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 115049 42-370.00 $460.10 1 hereby certify that the attached invoice(s),or 1/19/18 115049 $460.10 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 MWEIKUSSMAUL Invoice No 0000115049 Remit To: Phone:800-346-0857 170 Cherry Ave. Sales Order No 105712-00 Fax:631-567-5826 West Sayville, E-Mail:sales@kussmaul.com NY 11796 Packing List No 114261 Bill to : CAR033 Ship to : CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 United States United States Phone(317)571-2600 Customer PO Number Invoice Date Terms FOB Ship Via Coordinator MPW 01/09/2018 NET 30 DAYS WEST SAYVILLE,NY UPS GROUND LL Item Part/Description Serial Number Quantity Unit Price Extended Price 000010 091-55YW 3.00 29.70000 89.10 WEATHERPROOF COVER,YELLOW --000020 091-55RD ---------------------------- -------------------- ---- 2.00 29.70000 59.40 WEATHERPROOF COVER, RED -- ------------------------------- ------------------- ---- 000030 5-20P-H 10.00 29.70000 297.00 CONNECTOR, 120 VOLT,20 AMP HUBBELL ------ ---------------------------- ------------------- ------ ----- SHIPPING1.00 1 0 14.60 Shipping/Freight Charge, Ref Shipper No 114261 Shipped on 01/09/2018 ---------------------------- -------------------------------------------------------------------- ------------------- -------- ---------------------- Thank you for your order. Total Item Price 445.50 Tracking# 1Z1335780322910488 Shipping 14.60 - — Sales Tar. -- -- -0.00--- Total Inv Price US$460.10 Please pay balance due by Thursday February 8 2018. CUSTOMER COPY Page 1 Authorized Signature