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332341 11/13/18
-��c,y�f( CITY OF CARMEL, INDIANA VENDOR: 360767 ONE CIVIC SQUARE TERMINAL SUPPLY CO CHECK AMOUNT: $********67.04* i.® a CARMEL, INDIANA 46032 PO BOX 1253 CHECK NUMBER: 332341 9,;/�_ . TROY MI 48099 CHECK DATE: 11/13/18 Brox�°' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 7169200 67.04 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 360767 TERMINAL SUPPLY CO IN SUM OF$ CITY OF CARMEL PO BOX 1253 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. TROY, MI 48099 Payee $67.04 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 71692-00 42-370.00 $67.04 1 hereby certify that the attached invoice(s), or 11/1/18 71692-00 Parts $67.04 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 Monday, November 05,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer TERMINAL SUPPLY CO. We've got.it. We'll build_ it. We'll solve it. o atiC CIS,.CC . 1966 _ ' �pY Go P.O. Box 1253,Troy, M 48099 P: (800)989-9632 F: (800)989-0824 AL INVOICE www.cio2tsc.com 13987 13987 S CITY OF CARMEL STREET DEPT h CITY OF CARMEL STREET DEPT 3400 WEST 131ST i 3400 WEST 131 ST d p CARMEL IN 46074 CARMEL IN 46074 T T 0 0 Date TSC Order No F.O.B. Customer PO No Invoice No 11/01/18 210568 SHIPPING POINT MIKE VERBAL 71692-00 Date Shipped Shipped Via Terms Account-No Sales Re 11/01/18 UPS NET 30 DAYS LVW 13987 013 Quantit Item Description Unit Price Extension Ordered .Shipped Backordered 12 12 TB-2 TERMINAL BLOCK 4.89/EA 58.68 All balances un-paid after 30 Days are subject to a 1.5%Interest Charge per Month. Sales Tax Freight . Returns may be subject to a re-stocking charge. .00 8-36 Subtotal 58.68 Any questions regarding this Invoice or billing,please email: Amount Due 67.04 AR©Terminalsupplyco.com THANK YOU PAGE 01