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330111 09/19/18
CITY OF CARMEL, INDIANA VENDOR: 00350716 ONE CIVIC SQUARE BRUSKE PRODUCTS CHECK AMOUNT: $*******298.67* CARMEL, INDIANA 46032 PO BOX 669 CHECK NUMBER: 330111 7447 DUVAN DR CHECK DATE: 09/19/18 TINLEY PARK IL 60477-0669 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 52871 298.67 OTHER EXPENSES VOUCHER NO. 186415 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 350716 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER BRUSKE PRODUCTS CITY OF CARMEL PO BOX 669 An invoice or bill to be properly itemized must show: kind of service,where performed, 7447 DUVAN DR dates service rendered, by whom, rates per day, number of hours, rate per hour, TINLEY PARK, IL 60477-0669 numbers of units, price per unit,etc. Payee 298.67 350716 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR BRUSKE PRODUCTS Terms Carmel Wasterwater Utility PO BOX 669 Due Date BOARD MEMBERS 7447 DUVAN DR I hereby certify that that attached invoice TINLEY PARK, IL 60477-0669 (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 52871 01-7202-06 $257,17 and received except 9/6/2018 52871 $257.17 52871 01-7502-06 $41.50 . 9/6/2018 52871 $41.50 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer BE: original - ----------- --- _.-. _...-- ------ R1 ............. ..sK �� �®�� eN�. a���� L t � � PRODUCTS013/30/2018 ... 52871 08/30/20 DIVISION OF BRUSKE --... - ---- - - . .. - 1 2 ENTERPRtSES,jNC PO No. Daae Date Shipped By PO Box 669 S18820 09/29/2018 UPS Ground 7447 Dtavan Drive, Flnley Park tl_60477 0669,: --- .. Phone:.706-532 3840. Fie:708-532 3977. : SO No. Customer No. Rep 45689 C2085 065 .......... --.. .... ............. -------- ._ ...... _....._... Payment Teras Net 30 Days Soul To Delivery,Address CARMEL WASTE WATER TREATMENT CARMEL WASTEWATER TREATMENT ATTN: ACCOUNTS PAYABLE ATTN: DUANE 3ARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 USA USA Currency:$ Deacrptaon - Quanixty Prace Total .. 5617 ORANGE UNFLAGGED BROOM W/6011 WOOD HANDLE 2 15.25 30.50 ----------------........... ..._........... 2138-B 35"BLUE BRUSKE BRUSH W/BRACE BULK PACKED 2 25.95 51.90 ---------......................... .. ..._.._._.._.......__.._.._ ...... ............... ._... ._.._...._.......... ......_-............ 6031-P 60"X 11/8"HEAVY DUTY WOOD HANDLE FOR PLASTIC BLOCK 2 8.00 16.00 _.. .._... ----- -------------------- _....... .. ......... - ......... ............... ._...__..... .. - 4118 BLACK TRUCK WASH BRUSH(10") 2 13.00 26.00 ------------ :_._.. ------------------- -----.........................---- 4120 ORANGETRUCK WASH AND WINDOW BRUSH 10"BLOCK 2 7.75 15.50 . ........ --......._.-._.....I---------------------- - 9136-C COBWEB BRUSH WITH SWIVEL ADAPTER(9135)COMPLETE 2 10.50 23.00 --------------- —.....-........._.._..._..................._...._.-. 62120 5'-10'TWIST LOCK EPDXY COATED STEEL EXTENSION HANDLE 2 11.25 22.50 ----------------....... ..._—..........._.. 1-920-2 PIPE DUSTER REFILL W/TIES(USE WITH 1-920-5 FRAME 4 15.25 61.00 ONLY) ---- --- - _. __.--- ------ 1-920-5 PIPE DUSTER FRAME WITH SN WOOD HANDLE. 2 13.25 26.50 PLEASE PAY FROM.THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REKTTTANCE. INTEREST OF 2%PER MONTH (24% PER ANNUM)WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE. IF THIS INVOICE IS PLACED FOR COLLECTION,CUSTOMER AGREES TO PAY ALL COSTS THEREOF,INCLUDING REASONABLE ATTORNEY'S FEES. WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS6,7,AND 12 OF THE FAIR LABOR STANDARDS ACT,AS AMENDED,AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SEMON14 THEREOF.OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY.ALL CLAIMS FOR DAMAGES, DELAYS,OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. POSMvELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER. Original INVOICE --------------------------------------------------------------------- -----------------------.. ............ Document sNa mbe Document Date Page AOVUCT. DIVISION'OF BRUSKE 52871 _....-_.... . 08/30/2018.... 2/2 _.......... EN'IRISES'INC. PO N®, Daae Date Shipped 8Ir PO 63 669 7447 Duvan Drive;Tinley Pant, IL 60477©669.`. S1882Q 09/2gI(201f UPS Ground {'itott d8- 3 380{I<— F 7Q 3 ? SO No Customer No Rep. 45689 C2085 065 _._._ ............................ ...............................----.--.....__...-. ..--- _.. ......-_... Payment Terms Net 30 Days Sold To Delivery Address CARML eL WASTE WATER TREATNMT CARMEL WAS ;NATER TREATMENT ATTN: DUANE JARVIS ATTN: ACCOUNTS PAYABLE 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 USA USA Carry Over: 0.00 Invoice Subtotal: $270.90 _.... .......... ......_..--------- _._.-..__.. ------ Freight Amount: $27.77 Total Before Tax: $298.67 Total Tax Amount: $0.00 -- ..--.-._..._... ----- - ---- _ - ------ - - --------------- _._- --- Total Amount: 298:67 PLEASE PAY FROM THIS INVOICE. NO STATEMENT WILL BE SENT. SHOW INVOICE NUMBER ON REMITTANCE. INTEREST OF 2% PER MONTH (24% PER ANNUM)WILL BE CHARGED AFTER 30 DAYS FROM INVOICE DATE. IF THIS INVOICE IS PLACED FOR COLLECTION,CUSTOMER AGREES TO PAY ALL COSTS THEREOF,INCLUDING REASONABLE ATTORNEY'S FEES. WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS6,7,AND 12 OF THE FAIR LABOR STANDARDS ACT,AS AMENDED,AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SEMON14 THEREOF.OUR RESPONSIBILITY CEASES AFTER WE OBTAIN RECEIPT IN GOOD ORDER FROM TRANSPORTATION COMPANY.ALL CLAIMS FOR DAMAGES, DELAYS,OR LOSS MUST BE MADE AGAINST THE TRANSPORTATION COMPANY. _,POSITIVELY NO GOODS RETURNED FOR CREDIT UNLESS AUTHORIZED BY SELLER. M : ,U C" ' f r . ..a, . P C. C/ .C. C T�l K"Ei T:. . Sales Order#: 45689 Ship-To Party Creation Date: 08/24/18 10:51AM Sill-To Party CARMEL WASTE WATER TREATMENT � PO#: 18820 'ARMEL WASTE WATER TREATMENT ATTN: DUANE JARVIS Customer Code C2085 NTTN: ACCOUNTS PAYABLE 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY I -INDIANAPOLIS IN 46280 Ship Via: UPS Ground INDIANAPOLIS IN 46280 USA Date Shipped: USA } I3LOC .X Cluantity 1n -iCketl f3IO x' £ v 2 ORANGE UNFLAGGED BkOOM W/6011 WOOD HANDLE TPI-AIA 2 5617 2138-B 35" BLUE BRUSKE BRUSH W/BRACE BULK PACKED ;TPI-C1A 2 TP1-K2A/K2 60"X 1 1/8" HEAVY DUTY+WOOD HANDLE FOR PLASTIC BLOCK, B 2 6031-P BLACK TRUCK WASH B LUSH (10") jTP1-F5A 2 � 4118 ORANGETRUCK WASH IND WINDOW BRUSH 10" BLOCK TP1-F4A 2 5 4120 i 5 COBWEB BRUSH WITH SWIVEL ADAPTER (9135) COMPLETE TP1-mix 2 91 0 TP1-MIX 5'-10'TWIST LOCK EPDXY COATED STEEL EXTENSION HANDLE 'D8X 7 62120 2 PIPE DUSTER REFILL WlrIES (USE WITH 1-920-5 FRAME ONLY) 8 1-920-2 TP1-F10C 4 PIPE DUSTER FRAME WI, H 54 WOOD HANDLE. TP1-J1C 2 9 1-920-5 # of Items Signature ,i I t � I ; J I ,I I I �