HomeMy WebLinkAbout327920 07/20/18 1 d'F,pgl
`/ CITY OF CARMEL, INDIANA VENDOR: 371892
J` CHECK AMOUNT: $********93.05*
.I; °• ONE CIVIC SQUARE ACS-INDY EAST
CARMEL, INDIANA 46032 3295 N SHADELAND AVE CHECK NUMBER: 327920
'�'�TON�°r INDIANAPOLIS IN 46226 CHECK DATE: 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 1463053 93.05 PAINT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371892 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ACS-INDY EAST IN SUM OF$ CITY OF CARMEL
3295 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
1463053 42-364.00 $93.05 1 hereby certify that the attached invoice(s),or 3/16/18 1463053 $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
Wednesday,July 18,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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06-ACS-Indy East NVOICE
3295 North Shadeland Avenue
Indianapolis, IN 46226
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P: (317)541-0221
F: (317)549-2057
Bill To: Ship To:
Carmel Street Department-3546 Same As Customer-3546 Printed: 7/10/18
3400 W. 131st St. 3:41:59PM
REPRINT
Carmel,IN 46074
P: (317)733-2001 F: (317)733-2005 - —
Invoice Invoice SLSM Purchase Order Tax Terms o Ship Via Order Counter
Number Date Code Number Code c Number Code
1463053 i 03/16/2018 14 —�-w � 8 2%10th,NET EOMy ! 06 ( �- Delivery ro __.. 99 -
H r
M Item Number Item Description A Ordered Shipped Unit ! Net Total
_ ._ _. ._.
2370S/QT Flexible Matt Clear 1! 1 QT 64.60 64.601
77755/8OZ "Chromabase""4-To-1"Activator-70F 1 U 1 8OZ 28.45 28.45' j
80F.__-._
Sub Total: 93.05 r
SALES TAX-INDY 1: 0.00
Invoice Total: 93.05
Signature: Balance Due: 93.05
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.�_ _._..._.__._._.__.__..__....__._. _._.....-_._._._.��_._.._._.. Total Due: $93.05 E
For CHEMICAL EMERGENCY Spill Leak Fire Exposure or Accident call CHEMTREC day or nightwithin USA and Canada:1.800-424-9300 CCN706033 or 1-703-527-3887
collect calls accepted j
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