HomeMy WebLinkAbout333192 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 369978
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ONE CIVIC SQUARE PIRTEK FLUID TRANSFER.SOLUTIONS CHECKAMOUNT: S"****.*11.57CARMEL, INDIANA 46032 PIRTEK PIKE CHECK NUMBER: 333192
4219 WEST 96TH ST CHECK DATE: 12/11/18
INDIANAPOLIS IN 46268
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S2831581001 11.57 OTHER EXPENSES
VOUCHER NO. 186930 WARRANT NO.
Vendor# 369978 ALLOWED 20 Prescribed by State Board of Accounts
IN SUM OF$ City Form No.201(Rev 1995)
PIRTEK PIKE ACCOUNTS PAYABLE VOUCHER
4219 WEST 96TH ST. CITY OF CARMEL
INDIANAPOLIS, IN 46268 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,
numbers of units,price per unit,etc.
11.57 Payee
ON ACCOUNT OF APpROpRgTION FOR 369978
Purchase Order No.
Carmel WasterlNater Utili PIRTEK PIKE
Terms
4219 WEST 96TH ST.
BOARD MEMBERS Due Date
I hereby certify that that attached invoice
PO# (s), INDIANAPOLIS,IN 46268
DEPT#
ACCT# or bill(s)is(are)true and correct and that
INVOICE# Fund# the materials or services itemized`thereon DATE
AMOUNT
52831581.00 01-7500-02 for which charge is made were ordered and DEPT# INVOICE#
Description
1 $11.57 and received except FUND#i 11/29/2018 52831581.001-7(or note attached invoices)or bill(s)) AMOUNT
$11.57
------ ---------
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I ha
Cost distribution ledger classification if Claim paid motor vehicle highway fund. audited same in accordance with IC 5-11-10-1.6 ve
20_
PIRTEK PIKE Invoice
4219 WEST %TH ST.
INDIANAPOLIS IN 46268 :a :�•.• `::<ras::�iaR': :'•::
866-7384716 Fax 317-252-0379
11/21/18 52831581. 001
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PIRTEK PIKE
4219 WEST 96TH ST.
INDIANAPOLIS IN 46268 1
IF,
fluid transfer solutions
BILL TO: SHIP TO:
Carmel Wastewater-Sewer Carmel Wastewater-Sewer
ATTN:Accounts Payable ATTN:Duane Jarvis
9609 Hazell Dell Parkway 9609 Hazell Dell Parkway
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
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162580 519075 Anthony Brown
tiI7ERRtlJf �3k T6RM5 SitTP flAT6 :•:::• ::•:r:•4RDER3 ;:;:;:
Anthony Brown OT OUR-TRUCK NET 30 11/21/18 11/20/18
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–::_:: . .... . . :
AU-08 4ea 4ea 1.570 6 .28.
PLUG JIC
AW-08 4ea 4ea 1.322 5 .29
CAP JIC
Caps and plugs for dump truck
Rec ived b : -b3091
DatEll: 11/ �/ ®� � PO : 519ozs.
Cd #: 7,520 '0g
Use: PC cry S � �
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a•(' my-L"'LA 02 9-
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Your signature on Che Work Order indicates your acceptance of these Pirtek Terme and condition. of Sale. The Subtotal 11.57
Pirtek Term. and conditions of Sale are also posted to http.://—.pirtekuea.c=/pirtek-terms-and-conditions S&H CHGS 0.00
Invoice is due by .12/21/18. Sales Tax 0 .00
All claims for shortage or errors moat be made at once. Returns require written authorization
and are subject to handling charges. Special order. are non-returnable. Amount Due 11.57
Past due invoices may be subject to 1.50% late charge. ---------------------- ------------------------