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330128 09/19/18
(9, CITY OF CARMEL, INDIANA VENDOR: 363940 ONE CIVIC SQUARE FILTER SERVICES OF INDIANA CHECKAMOUNT: $*******294.12* CARMEL, INDIANA 46032 1550 INDIANA AVE CHECK NUMBER: 330128 INDIANAPOLIS IN 46202-2153 CHECK DATE: 09/19/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 20177275 93.92 OTHER EXPENSES 651 5023990 20177669 200.20 OTHER EXPENSES VOUCHER NO. 186417 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 363940 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER FILTER SERVICES OF INDIANA CITY OF CARMEL 1550 INDIANA AVE. An invoice or bill to be properly itemized must show: kind of service,where performed, INDIANAPOLIS, IN 46202-2153 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee 294.12 363940 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR FILTER SERVICES OF INDIANA Terms Carmel Wasterwater Utility 1550 INDIANA AVE. Due Date BOARD MEMBERS I hereby certify that that attached invoice INDIANAPOLIS, IN 46202-2153 (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 20177275 01-7202-06 $93,92 and received except 9/6/2018 20177275 $93.92 20177669 01-7202-06 $200.20 9/6/2018 20177669 $200.20 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 Filter Services of Indiana Invoice EX AIR INC. Services of Indiana,Inc. 1550 Indiana Avenue Date Invoice# Indianapolis,IN 46202 8/15/2018 20177275 Bill To Ship To CITY OF CARMEL WATER POLLUTION CONTROL CITY OF CARMEL WATER POLLUTION CONTROL FACILITY&SEWER DEPT. FACILITY&SEWER DEPT. 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280 P.O. No. Terms Project S18778 Net 30 Days _ Description Qty ...'Rate," ..'Rate Amount ".'. 102-700-019 20X2OX2 Multi-Pleat M8 24 3.08 73.92 Fuel Surcharge._ _ _ 20 00 _,20.00 Deliver Pleats as soon as possible Deliver Box Filters when they come in DUANE 317 650 4127 - __ ��' Subtotal $93.92 Sales Tax (7.0%) $0.00 Total $93.92 Payments/Credits $0.00 Balance Due $93.92 Filter Services of Indiana Invoice �rll EJK AIR INC. Services of Indiana,Inc. 1550 Indiana Avenue Date Invoice# Indianapolis,IN 46202 8/31/2018` 20177669 Bill To Ship To CITY OF CARMEL WATER POLLUTION CONTROL CITY OF CARMEL WATER POLLUTION CONTROL FACILITY&SEWER DEPT. FACILITY&SEWER DEPT. 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280 P.O. No. Terms Project 518778 Net 30 Days Description Qty Rate Amount 102-700-019 20X2OX2 Multi-Pleat M8 0 3.08 0.00 ;1'12'651 003 24X24X6 MULTIFLO NH M14 4 445 OS 180 20, Fuel Surcharge 1 20.00 20.00 Delrver•Pleatsas'soon a's possible � _ " •Deliver-Box Filterswhen they come in DUANE 317 650 4127 Subtotal $200.20 Sales Tax (7.0%) $0.00 Total $200.20 Payments/Credits $0.00 Balance Due $200.20 EIK Air, Inc. dba Filter Services of Indiana, Inc. Packing Slip Services of Indiana,Inc. EX AIR INC. Date S.O. No. 1550 Indiana Avenue Indianapolis, IN 46202 8/14/2018 20183575 317-264-2123 Name/Address Ship To CITY OF CARMEL WATER POLLUTION CONTROL CITY OF CARMEL WATER POLLUTION CONTROL FACILITY&SEWER DEPT. FACILITY&SEWER DEPT. 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280 P.O. No. Ship Via Project S18778 Delivery ordered Item Descnption Sh�ppetl Backordered 24 20X2OX2 M... 102-700-019 20X2OX2 Multi-Pleat M8 0 4 24X24X6 M 112-651 Q03 24X24X6 MULTIFLO NH 4 s , M1�4 2 Fuel Surchar... Fuel Surcharge Dell�er Pleats as soon as possible Deliver BoxfFilters when they come In DUANE 317 650 4127 Received By: Prepared By: By signing on the above line,I agree that I have correctly received the items listed on this order. Delivered By: Date: " EX Air Inc. dba Filter Services of Indiana, Inc. packing Slip F©�Ir� Services of Indiana,Inc. EX AIR INC. Date S.O. No. 1550 Indiana Avenue Indianapolis, IN 46202 8/14/2018 20183575 317-264-2123 Name/Address Ship To CITY OF CARMEL WATER POLLUTION CONTROL CITY OF CARMEL WATER POLLUTION CONTROL FACILITY&SEWER DEPT. FACILITY&SEWER DEPT. 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280 P.O. No. Ship Via Project S18778 Delivery :.Ordered Item` Description Shippetl 24 20X2OX2 Multi... 102-700-019 20X2OX2 Multi-Pleat M8 4 24X24X6 MUL . 112-651" b'03 24X24X6 MULTIFLQ NH 1VI14 2 Fuel Surcharge Fuel Surcharge _ Deliver,Pleats as soon'as possible De liver Box Filters rWhen they come in DUANE 317 650 4127 Received By: Prepared By: By signing on the above line,I agree that I have correctly received the items listed on this order. Delivered By: Date: