HomeMy WebLinkAbout333494 12/14/18 a
CITY OF CARMEL, INDIANA VENDOR: 363940
ONE CIVIC SQUARE FILTER SERVICES OF INDIANA CHECK AMOUNT: $********93.92*
9 °1-'wAM
?�; CARMEL, INDIANA 46032 1550 INDIANA AVE CHECK NUMBER: 333494
�'i�,oN^i�, INDIANAPOLIS IN 46202.2153 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20179083 93.92 OTHER EXPENSES
VOUCHER NO. 186986 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 363940 IN SUM OF$ 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
93.92 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
20179083 01-7202-06 $93,92 and received except 12/4/2018 20179083 $93.92
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
p `� Filter Services of Indiana Invoice
ziik' EX AIR INC.
Services of Indiana,Inc. 1550 Indiana Avenue
Date Invoice#
Indianapolis,IN 46202
11/20/2018 20179083
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
S19113 Net 30 Days
Description Qty. Rate Amount
102-700-019 20X2OX2 Multi-Pleat M8 24 3.08 73.92
20.00 20:00:
DUANE 317 6S6_4 i_2_7 -_4 -
Received by
Date..: p_L)-q PO #: s �9 ri3
Acct #: 0 /a4)•Ot0
USC
Subtotal $93.92
Sales Tax (7.0%) $0.00
Total $93.92
Payments/Credits $0.00
Balance Due $93.92
EX Air, Inc. dba Filter Services of Indiana, Inc. packing Slip
Services of Indiana,Inc. EJK AIR INC.
Date S.O. No.
1550 Indiana Avenue
Indianapolis, IN 46202 11/16/2018 20185427
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
519113 Delivery
Ordered Item Description Shipped
77
24 20X20X2 Multi... 102-700-019 20X20X2 Multi-Pleat M8
1 Fuel Surchazge Fuel Surchazge
DiJANE 3.177T6 50 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: