HomeMy WebLinkAbout323108 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 055000
ONE CIVIC SQUARE CERTIFIED LABORATORIES CHECK AMOUNT: $*******394.60*
CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK NUMBER: 323108
CHICAGO IL 60673-1232 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 _ 3053426 394.60 GROUNDS MAINTENANCE
t
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 055000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CERTIFIED LABORATORIES IN SUM OF$ CITY OF CARMEL
23261 NETWORK PLACE 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.
CHICAGO, IL 60673-1232
Payee
$394.60
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course 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
3053426 43-504.00 $394.60 1 hereby certify that the attached invoice(s),or 3/9/18 3053426 Golf Maintenance $394.60
1207 101 1207 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, March 19,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CEIMLYOU CAN RELY ON INVOICE
IEmw_D ORIGINAL COPY Page: 1 of
wFP_ Remittance Address
CORRESPONDENCE TO ORDERS CALL #1-800-527-9929 CERTIFIED LABORATORIES
PO BOX 2493 FAX #1-9724380634 23261 NETWORK PLACE
- -
Fr WORTH TX 76113-2493 CHICAGO,IL 60673-1232
W W.CERTIFIEDLA BS.COM
Sold To, Ship To
Attn: ACCOUNTS PAYABLE Attn: RUSSELL PICKETT Sign up to receive your
BROOKSHIRE GOLF COURSE
BROOKSHIRE GOLF COURSE next invoice via email 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY or pay your next invoice
CARMEL IN 46032 CARMEL IN 46032
acWefttdirect deposit
simply email us at
cac.credit@nch.com
Customer No. Billing Date Terms Due Date Ship Date Sales Order
588252 09-MAR-18 10 NET 19-MAR-18 09-MAR-18 3340027
Invoice No. Purchase Order-No: Sales Rep.No. Sales Rep.Name
3053426 USCL262T FISHER,STEVEN CHASE
Product I Qty Ordered I Description Packa in
� g I Qty Billed, I -Unit Price I Amount
10032735 1 PREMALUBE,CS/48(FIBER),NAC CL CS 1.00 369.00 369.00
Merchandise State Tax Local Tax *Y Shipping Split Inv.No. 'Currency Total Amount
369.00 0.00 0.00 25.60 USD 394.60
- 2N -----------------------Tax1D#4003512371-001-3_--_____ - _Federal:ID-#_75-045720.0_- _--
CERTIFIED LABORATORIES,DIVISION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST
BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS.MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN