HomeMy WebLinkAbout322860 03/12/18 c C4H I
CITY OF CARMEL, INDIANA VENDOR: 371892
it ONE CIVIC SQUARE ACS-INDY EAST CHECK AMOUNT: S***....*93.05*
CARMEL, INDIANA 46032 3741'N SHADELAND AVE CHECK NUMBER: 322860
9M,roN � INDIANAPOLIS IN 46226 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT/ _ PO NUMBER INVOICE,NUMBER' AMOUNTI DESCRIPTION
2201 4236400 1457663 93.105 PAINT
I
Fd
i
' I
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
$93.05
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
1457663 42-364.00 $93.05 1 hereby certify that the attached invoice(s),or 2/20/18 1457663 $93.05
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
Tuesday, February 27,2018
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. _ Clerk-Treasurer
i
06 -ACS-Indy East
3295 North Shadeland Avenue INVOICE
Indianapolis, IN 46226
P:' (317)541-0221
F: (317)549-2057
Bill TO: Ship To: Printed:2/20/2018 9:15:27 AM
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' I SLSM PURCHASE ORDER TAX € ORDER COUNTER
NUMBER DATE CODE NUMBER CODE TERMS NUMBER SHIP VIA CODE
1457663 2/20/2018 14 8 2% 10th, NET EOM 8 j Delivery 99
M ITEM NUMBER ITEM DESCRIPTION T ORDERED SHIPPED UNIT NET TOTAL
I 2370S/QT l Flexible Matt Clear 1 1 j QT 64.60 64.60
7775S/80Z j"Chromabase""4-To-1" 1 80Z ___ 28.45 28.45
Activator-70F-80F
SUB TOTAL: 93.05
TOTAL DUE: 93.05
Signature:, Y' BALANCE DUE: 93.05
i
I
f I .
I
I
I I
i
I
f
f
I
E
i I
I I
f
i
. Total Taxable: Total Due:$93.05
.. _
E
t
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
Page 1 of 1