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332193 11/13/18
CITY OF CARMEL, INDIANA VENDOR: 00350856 ONE CIVIC SQUARE LEHIGR OUTFITTERS CHECK AMOUNT: $*******359.58* a� =a CARMEL, INDIANA 46032 PO Box 644755 _ . CHECK NUMBER: 332193 9,;�TON PITTSBURG PA 15264 CHECK DATE: 11/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2657920 182.05 OTHER EXPENSES 651 5023990 2657921 177.53 OTHER EXPENSES VOUCHER NO. 186767 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 350856 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER LEHIGH OUTFITTERS, LLC CITY OF CARMEL P.O. Box 644755 An invoice or bill to be properly itemized must show: kind of service,where performed, Pittsburgh, PA 15264-4755 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee 359.58 350856 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR LEHIGH OUTFITTERS, LLC Terms Carmel Wasterwater Utility P.O. Box 644755 Due Date BOARD MEMBERS I hereby certify that that attached invoice Pittsburgh, PA 15264-4755 (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 2657920 01-7202-06 $182.05 and received except 11/1/2018 2657920 $182.05 2657921 01-7202-06 $177.53 11/1/2018 2657921 $177.53 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 Page 1 of 1 INVOICE CEiilGli Lehigh Outfitters,LLC 39 East Canal Street Customer No. Order No. OtI�FITTERS.com Nelsonville,Ohio 45764 Phone:800-848-9452 085893-000 8643373 Fax:(740)753-4024 Invoice Date Invoice No. Due Date 10/24/18 1 2657921 11/23/18 Bill To: 085893-000 Ship To: 085893-000 28901 AB 0.408 E0164 10262 D4166132034 S2 P5825624 0002:0002 Illllrtltlltlllllll'llll�litlllilll�llilllllllllrlllll'Itlt'Illil CARMEL WATER&WASTEWTR CARMEL WATER&WASTEWTR TREATMENT PLANT TREATMENT PLANT 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 317-571-2634 INDIANAPOLIS IN USA Customer's Order Number Mobile Unit Terms S19023 __ __ _ _ _ __ _ _ _----NET 030 DAYS Sales Employee Employee Unit March Adj Sales Sery Frtl Line Cash Company Employee Pay Slip Id Name Dept Style W Size Qty Price Amt Amt Tax Fee Misc. Total Recv Subsidy Bal Due Ded 317355 ROBINSON,ERIC K1011243 D 9.5 1 177.53 177.53 .00 .00 00000.00 .00 177.53 .00 177.53 .00 Rec ived b Dat O Cd #: 7aQ911010 I Use 5 A5 - E� Main Marketing Box Total Qty Total Merchandise Adjustment Sales Tax SeryFee I Freight Line Totals Cash Received Company Subsidy Employee Bal Due 1.0 177.53 0.00 0.00 0.00 1 177.53 0.00 1 177.53 0.00 Legal title of the items included on this invoice have been transferred from Rocky Brands to the Customer noted on this invoice at point of shipment. -----------------------------------------------------------------------------------------------cut here-----------------------------------c--kh-----ere--fo--r--------tracking----num--b--ers-----se--t--1--------------------- Cli - To assure proper credit Please detach this Dortion and return with remittance. REMITTANCE ADVICE Invoice To: PLEASE REMIT PAYMENT TO: 085893-000 Lehigh Outfitters,LLC CARMEL WATER&WASTEWTR P.O.BOX 644755 TREATMENT PLANT Customer 085893-000 9609 HAZEL DELL PKWY PITTSBURGH,PA 15264-4755 Invoice No. 2657921 INDIANAPOLIS IN 46280-2935 Invoice Date 10/24/18 Summary Total Due 177.53 0002:0002 Amount Paid F ).S3 Page 1 of 1 irph INVOICE EEHIGH Lehigh Outfitters,LLC 39 East Canal Street Customer No. Order No. OIITFITTERS.con Nelsonville,Ohio 45764 085893-000 8643372 .1 Phone:800-848-9452 Fax:(740)753-4024 Invoice Date Invoice No. Due Date 10/24/18 2657920 11/23/18 Bill To: 085893-000 Ship To: 085893-000 28901 AB 0.408 E01 64X 10261 D4166121540 S2 P5825624 0001:0002 IIIIII t1'll'IIIIIII1IIII'IIII IIII III IIIIIIIIIII11111111111"IIIII �-� CARMEL WATER&WASTEWTR CARMEL WATER&WASTEWTR TREATMENT PLANT TREATMENT PLANT 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 317-571-2634 INDIANAPOLIS IN USA Customer's Order Number Mobile Unit Terms S19023 ---NET030 DAYS Sales Employee Employee Unit March Adj Sales Sery Frtf Line Cash Company Employee Pay Slip Id Name Dept Style W Size Qty Price Amt Amt Tax Fee Misc. Total Recv Subsidy Bal Due Dad 317346 HAYMAKER,BRAD K1012771 2E 12 1 182.05 182.05 .00 .00 00000.00 .00 182.05 .00 182.05 .00 EDae ve by I i-is #;s 19C�3 : o I. a aC'(' Gal _ Main Marketing Box Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Line Totals Cash Received Company Subsidy Employee Bal Due 1.0 182.05 0.00 0.00 0.00 182.05 0.00 182.05 0.00 Legal title of the items included on this invoice have been transferred from Rocky Brands to the Customer noted on this invoice at point of shipment. -----------------------------------------------------------------------------------------------cut here--------------------------------- --ck--here------fo--r--tr a------cking--nu---m---ers---------1--------------------- b -set To assure proper credit Please detach this portion and return with remittance. REMITTANCE ADVICE Invoice To: PLEASE REMIT PAYMENT TO: 085893-000 Lehigh Outfitters,LLC CARMEL WATER&WASTEWTR P.O.BOX 644755 TREATMENT PLANT Customer 085893-000 9609 HAZEL DELL PKWY PITTSBURGH,PA 15264-4755 Invoice No. 2657920 INDIANAPOLIS IN 46280-2935 Invoice Date 10/24/18 Summary Total Due 182.05 0001:OOD2 Amount Paid �a ©S 0 Delivery Order/Packing Slip Ship To: Return To: CARMEL WATER WASTEWTR See Return Instructions TREATMENT PLANT Included in Shipment 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 United States Tel No:7407531951 Order Summary Order Date: Customer Order#: Customer#: Service Level: 23-Oct-2018 10012232 FEDEX Ground Ship Date: Pkt#: No of Cartons: Carrier: 23-Oct-2018 0089254384 1.00 FXGD Pkt Ctrl#: PO#: Gross Weight: K089254384 1681371 4.65 Item# Item Description Ordered Qty Customer SKU UPC Shipped Qty 1011243 9.5 D BRADDOCK MID WP 1 K1011243 D 095 887194272259 1 M-GARGOYLE/FOREST NIGHT Total Units 1 Page 1 of 1 Delivery Order/Packing Slip Ship To: Return To: CARMEL WATER WASTEWTR See Return Instructions TREATMENT PLANT Included in Shipment 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280 United States Tel No:7407531951 Order Summary Order Date: Customer Order#: Customer#: Service Level: 23-Oct-2018 10012232 FEDEX Ground Ship Date: Pkt#: No of Cartons: Carrier: 23-Oct-2018 0089254382 1.00 FXGD Pkt Ctrl#: PO#: Gross Weight: K089254382 1681373 5.60 Item# Item Description Ordered Qty Customer SKU UPC Shipped Qty 1012771 12 EE BRADDOCK AL WP M-BISON/ENSIGN 1 K1012771 2E 120 887194436545 1 BLUE Total Units 1 Page 1 of 1