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Home My WebLink About323106 03/21/18 .1 W""4qs CITY OF CARMEL, INDIANA VENDOR: 370168 j ONE CIVIC SQUARE CCP INDUSTRIES INC CHECK AMOUNT: $*******298.92* f CARMEL, INDIANA 46032 PO BOX 73627 CHECK NUMBER: 323106 CLEVELAND OH 44193 CHECK DATE: 03/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 IN02000711 298.92 OTHER EXPENSES VOUCHER NO. 185040 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 370168 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER CCP INDUSTRIES INC. CITY OF CARMEL PO BOX 73627 An invoice or bill to be properly itemized must show: kind of service,where performed, CLEVELAND, OH 44193 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee 298.92 370168 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR CCP INDUSTRIES INC. Terms Carmel Wasterwater Utility PO BOX 73627 Due Date BOARD MEMBERS I hereby certify that that attached invoice CLEVELAND, OH 44193 (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 IN02000711 01-7202-06 $298,92 and received except 3/13/2018 IN02000711 $298.92 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 Please Remit to our Billing Address: TOLL-FREE INSTANT ORDER SERVICE PO BOX 73627 Phone..................: (800)321-2840 CLEVELAND, OH 44193 Fax.......................: (800)445-8366 ccpindustriesp FED ID#...............: 34-0664235 Invoice S City of Carmel Utilities Wastewater Invoice No............: IN02000711 H 9609 HAZEL DELL PKWY Cust.Acct. No......: 0000148078 p INDIANAPOLIS, IN 46280 Invoice Date.........: 11/29/2017 T PO No..................: S17847 0 Order No..............: SL02205995 Ship Via...............: Page....................: 1 of 1 O City of Carmel Utilities Wastewater Reference. .......: 1596282 L 9609 HAZEL DELL PKWY Drop Ship POO.......: D INDIANAPOLIS,IN 46280 Terms...................: Net 30 days Due Date..............: 12/29/2017 T 0 " ALL INVOICES PAID AFTER DUE DATE WILL BE ASSESSED A LATE PAYMENT SERVICE CHARGE OF 1.5%PER MONTH OR THE MAXIMUM ALLOWABLE BY LAW,WHICHEVER IS LOWEF Qty.Ordered Qty. Invoiced Item number Description Unit Unit price Amount 1 1 GL-N105FL NITRILE POWDER FREE EXAM CS 63.8180 63.82 GLOVESBLACK, 10/100-LG 1 1 AS-ACDM-P TASK BRAND URINAL DRIP MAT 6/BX BX 52.1075 52.11 1 1 GL-N105FX NITRILE POWDER FREE EXAM GLOVES CS 63.8180 63.82 BLACK, 10/100-XLG 1 1 GL-N105FXXL NITRILE POWDER FREE EXAM GLOVES CS 63.8180 63.82 BLACK, 10/100-XXLG FREIGHT AND HANDLING 55.36 E-MAIL YOUR ORDERS TO: CCPORDERS@CCPIND.COM VISIT OUR WEBSITE AT WWW.CCPIND.COM CCP IS OPEN FROM 7:30 AM TO 7:00 PM ET MONDAY THROUGH FRIDAY Warehouse: KX Amount Due 298.92 USD REMITTANCE COPY-TEAR HERE AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT Seller represents that with respect to the production of the articles and/or performance of the services covered by this invoice,it has fully complied with the provisions of the Fair Labor Standards Act of 1938 as amended.The material covered by this invoice is not intended for uses subject to the Textile Fiber Products Identification Act. Invoice No......: I N0200071 1 0000148078IN02000711112920170000298920000298923 Bill ToAcct..:.: 0000148078 Invoice Date...: 11/29/2017 S City of Carmel Utilities Wastewater Invoice AMT...: 298.92 0 9609 HAZEL DELL PKWY Applied AMT..: 0.00 D INDIANAPOLIS, IN 46280 T Amount Due.: 298.92 USD 0 IN02000711 CCP###0000148078 R E CCP Industries Inc. M PO BOX 73627 Ir CLEVELAND, OH 44193 ccpindustri cu3rr•crxaysu•rx�rEcz T 101