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328472 08/09/18 CITY OF CARMEL, INDIANA VENDOR: 008050 i I ONE CIVIC SQUARE ACTION EQUIPMENT INC CHECK AMOUNT: $********94.08* CARMEL, INDIANA 46032 5801 S.HARDING ST CHECK NUMBER: 328472 INDIANAPOLIS IN 46217 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 PSI18-06932 94.08 OTHER EXPENSES VOUCHER NO. 186137 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 8050 IN SUM of$ ACCOUNTS PAYABLE VOUCHER ACTION EQUIPMENT INC CITY OF CARMEL 5801 S. HARDING ST An invoice or bill to be properly itemized must show: kind of service,where performed, INDIANAPOLIS, IN 46217 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 94.08 8050 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR ACTION EQUIPMENT INC Terms Carmel Wasterwater Utility 5801 S. HARDING ST Due Date BOARD MEMBERS I hereby certify that that attached invoice INDIANAPOLIS, IN 46217 (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 PSI18-06932 01-7202-06 $94,08 and received except 7/31/2018 PSI18-06932 $94.08 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 INVOICE Invoice Number: PS118-06932 Invoice Date Due Date Ship Date Page: 1 7/25/2018 8/4/2018 7/23/2018 Action Equipment Sales Co., Inc. Customer lD contact Salesperson CARM01RM01 KERRI-A/P LAURIE 5801 S. Harding Street Cust.Phone Cust.Fax Sales Order No. Indianapolis, IN 46217 317-571-2443 317-571-2265 S018-04401 djarvis@carmel.in.gov Bill CARMEL UTILITIES Ship CARMEL WASTE WATER To: KERRI -A/P To: RICK MATLOCK WASTEWATER 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY CARMEL, IN 46280 INDIANAPOLIS, IN 46280 Terms Ext Doc No. Your Reference Ship Via Loc Code Loc Phone Loc Fax Net 10 days S18699 UPS INDPLS Number Description Order Qty Unit uanti Unit Price Total Price 98021500 CONNECTOR,1/2"ANCHOR 1 EA 1 12.30 12.30 98021830 VALVE,FLOAT ASSY.1/2" 1 EA 1 55.00 55.00 87065140 BALL FLOAT 4 x 5 1 EA 1 16.35 16.35 87196480 ROUND FAB THREAD 1/4 x 6 1 EA 1 5.05 5.05 98021460 SWIVEL 1/2 X 3/4"GHF W/S 1 EA 1 5.38 5.38 Website: actionequipmentsales.com Phone: 317-788-9781 Fax: 317-788-9726 Amount Subject to Amount Exempt Subtotal: 94.08 Sales Tax from Sales Tax Invoice Discount: 0.00 0.00 94.08 Total Sales Tax: 0.00 Total: 94.08 ® PICKING / PACKING SLIP I Sales Order Number: S018-04401 Page: 1 24-HOUR CHEMICAL EMERGENCY PHONE NO. 1-800-535-5053 Sales Order Date: Ship Date. P.O.Date 7/23/2018 7/23/2018 7/23/2018 Customer ID Contact SalesPerson CARM01 KERRI-A/P LAURIE Cust.Phone Cust.Fax 317-571-2443 317-571-2265 djarvis@carmel.in.gov Sold CARMEL UTILITIES Ship CARMEL WASTE WATER To: KERRI -A/P To: RICK MATLOCK WASTEWATER 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY CARMEL, IN 46280 INDIANAPOLIS, IN 46280 Terms Ext Doc No. Your Reference Ship Via ,Loc Code Loc Phone Loc Fax Net 10 days S18699 UPS I INDPLS Number Description Unit . Qtv Ord B/O Qty Shiaaed Net Weight Total Weight 98021500 CONNECTOR, 1/2"ANCHOR EA 1 0 0.00 98021830 VALVE,FLOAT ASSY.1/2" EA 1 0 0.00 98020610 f BALL,FLOAT,BLACK EA 1 0 0.00 PLASTIC 98036710 ✓ STEM,5',FLOAT EA 1 0 0.00 98021460 SWIVEL 1/2 X 3/4"GHF WIS EA 1 0 0.00 0.00 ORDER PICKED BY: CHECKED BY: CTNS ON SKIDS CUSTOMER SIGNATURE: