HomeMy WebLinkAbout326855 06/29/18 i ter,C,Ab
�/ f• CITY OF CARMEL, INDIANA VENDOR: 00351379
® ONE CIVIC SQUARE UNITED LABORATORIES INC CHECK AMOUNT: $*******821.67*
9� ;:' CARMEL, INDIANA 46032 PO Box 410 CHECK NUMBER: 326855
''��'rtiri�°. ST CHARLES IL 60174 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 INV226611 821.67 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351379 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
UNITED LABORATORIES INC IN SUM OF$ CITY OF CARMEL
PO BOX 410 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.
ST CHARLES, IL 60174
Payee
$821.67
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
INV226611 42-389.00 $821.67 1 hereby certify that the attached invoice(s),or 6/19/18 INV226611 $821.67
1205 101 1205 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
Tuesday,June 26,2018
Crider,James
Administration
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
Ship To: City of Carmel
UNITEDClayton Bell
One Civic Square
L A B OR AT OR I E S
Federal ID#36-2535769 Carmel I N 46032
United Laboratories
PO Box 410
St.Charles,IL 60174-0410
Any questions please calk 1-630-377-0900
www.unitedlabsinc.com
SOLD TO: City of Carmel INVOICE
Account Payable
One Civic Square Invoice No. Date Cust Terms
Carmel IN 46032 INV226611 6/19/2018 329248 NET30
Reference S026001
Order no. S0211573
Carrier UPS
Salesrep 1489 Vana,Tamara W
Ship Date: 6/18/2018
Product Ordered Shipped Unit Price Total
51601 ESA VERTICAL VANQUISHER 2.00 GAL 2.00 GA $54.50 $109.00
71701 ESA MP INDUSTRIAL DESCALER 2.00 GAL 2.00 GA $48.47 $96.94
54104 NOMIX PATCH 4/Dual Feed Cart 2.00 EA 2.00 EA $242.00 $484.00
A541 NOMIX DUAL FEED DISPENSER 1.00 EA 1.00 EA $62.00 $62.00
A541S STATIC MIXER F/NOMiX PATCH 2.00 EA 2.00 EA $0.00 $0.00
JUN 2 6 2018
The merchandise listed aboLhasen produced in accordance with the it Due Date 7/19/2018
labor standards act of 1936, �I r oTFeM �retu ed Net Invoice $751.94
for credit without prior writte2°10 5nance charge per mon _ Sales Tax $0.00
Equalized FreightlHandling $69.73
Any quantity or item not shipped complete is State EPA Fees $0.00
automatically back ordered Total Amount $821.67 USD
Please detach and return with payment
Sold City of Carmel
To. Account Payable Account Number 329248
One Civic Square _
Invoice Number INV226611
Carmel IN 46032 Invoice Date 6/19/2018
PLEASE REMIT invoice Amount $821,67 USD
PAYMENT T0: United Laboratories
- PO Box 410
St.Charles, IL 60174-0410 Check# $
Building Mairitenance
Account
Departmental acs�-