HomeMy WebLinkAbout323983 04/06/18 a�r C4gb
tF. - CITY OF CARMEL, INDIANA VENDOR: 371892
ONE CIVIC SQUARE ACS-INDY EAST CHECK AMOUNT: S""""213.63'
?� CARMEL, INDIANA 46032 3741 N SHADELAND AVE CHECK NUMBER: 323983
9MiroH c�. INDIANAPOLIS IN 46226 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 1465854 213.63 PAINT
�A v
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371892 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ACS-I N DY 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
$213.63
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
1465854 42-364.00 $213.63 1 hereby certify that the attached invoice(s),or 3/30/18 1465854 $213.63
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,April 03,2018
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
06 -ACS-Indy East
3295 North Shadeland Avenue IN DICE
Indianapolis, IN 46226
R. '(317)541-0221 -
F: (317)549-2057
Bill To: Ship To: Printed:3/30/2018 12:27:31 PM
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 INVOICES SLSM PURCHASE ORDER TAX ORDER COUNTER
! -NUMBER DATElz. CODE NUMBER CODE TERMS NUMBER SHIP VIA CODE
'
.'1465854 3/30/2018 14 8 2% 10th, NET EOM 8 Delivery 99
.._._.._._...___ _................... ______.__._.___...... ,-......_,....... ---..______ _ _._____�__ _.__._..._..__.._...._._
M ITEM NUMBER j ITEM DESCRIPTION T ORDERED SHIPPED UNIT j NETTOTAL
X �2363S/QT Matting Agent 1 1 QT 71.201 71.20
DEV HAV-501 .' IAIR ADJUSTING VALVE&GAU 1 1 EA42.881 42.88
X I*K/PT 'Chromabase Basecoat 1 1 € PT I 86.901 .. 86.90
DEV HAF-507 Whirlwind Filter 1 1 ' EACH ' 12.651 12.65
t ) SUB TOTAL: 213.63
TOTAL DUE: ' " ;;; 213.63
Signature: BALANCE DUE: 213.63
Emergency Response Contact:1(800)424-9300 CCN706033
HM Hazardous Material Description #Pks unit Total Wt.
X UN 1263,Paint Related Material,3,PGII 1 ( QT 0
{ X UN1263,Paint,3,PGII LTD.QTY. 1 i PT 0
TOTAL 0
X
E I
I
I
f
j Total Taxable: Total:Due:$213.63,
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
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