HomeMy WebLinkAbout181213 01/13/2010 c.e.. CITY OF CARMEL, INDIANA VENDOR: 363648 Page 1 of 1
r ONE CIVIC SQUARE GLASFORMS
O 3943 VALLEY EAST INDUSTRIAL DRIVE CHECK AMOUNT: $249.97
J, CARMEL, INDIANA 46032 FARMINGTON AL 35217 CHECK NUMBER: 181213
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 033849 249.97 MATERIALS SUPPLIES
il lasru PAGE NO: 1 of 1
117E
INVOICE NO: 033849
271 BARNARD AVE.
SAN JOSE, CA 95125 -1399 ISO 9001 INVOICE DATE: 12/15/2009
(408)297 -9300
C I N V O I C E
CUSTOMER NO: 001195 YOUR ORDER NO: .4a
CUSTOMER PH: 317 733 -2840 OUR ORDER NO: CO 12/11/090009 -0000
BILL TO: SHIP TO:
CITY OF CARMEL INDIANA CITY OF CARMEL WATER UTILITIES
MS. KERRI LOVEALL MR. STEVE COOK
3450 W. 131ST STREET 3450 W. 131ST STREET
WESTFIELD IN WESTFIELD IN
46074 46074
fTERMS:
CASH #1: DISC: SHIPPED: SHIPPED 12/15/2009
#2: DISC SHIPPED VIA: UPS GROUND
CASH #3: DISC: F.O.B.: BIRMINGHAM
CASH #4: DISC: SHIPMENT NO: 024995 REF:
NET DUE DATE: 12/15/09 PRO NO: CSR: BCL
i
QTY QTY QTY ITEM UNIT PRICE EXTD PRICE
ORDERED SHIPPED B.O. NUMBER DOLLARS DOLLARS
SHIP UPS GROUND: VIA QUOTE GIVIN ON 12/11/09 $19.13
10 10 0 B740000123 23.05 230.50
TRIFLEX MKR 66.0 ORNG V24 CP
TF -66 -03
WITH DECAL B507F00811 APPLIED
FREIGHT 19.47
A v K
ic
1
Should payment not be made within 15 days from due date, a charge of 2% on the unpaid principal SALES TOTAL: 2 3 0 5 0
balance will be assessed and an additional 2% charge will be assessed against the unpaid principal SALES TAX 0 00
balance every 30 days thereafter. All invoices are absolutely due on the due date. The 2% charge FREIGHT 19 4 7
assessed on unpaid invoices is not to be construed as an agreement, express or implied, to extend the LESS 0 0 0
time for payment. Said charge is an attempt by the parties to assess reasonable liquidated damages OTHER CHARGES 0 00
for non payment in light of the anticipated harm caused by non payment, the difficulties of proof of loss
and the inconvenience and non feasibility of otherwise obtaining an adequate remedy.
INVOICE TOTAL 2 4 9.
US DOLLARS
ORIGINAL COPY
VOUCHER 093962 WARRANT ALLOWED
363648 IN SUM OF
.aGLASFORMS INC
3943 VALLEY EAST INDUSTRIA W
FARMINGHAM, AL 35217 at,71
0 AZ
Carmel Water Utilit
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
033849 01- 6200 -06 $249.97
Voucher Total $249.97
Cost distribution ledger classification if
claim paid under vehicle highway fund
(o0 Yi.
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
363648
GLASFORMS INC Purchase Order No.
3943 VALLEY EAST INDUSTRIAL DR Terms
FARMINGHAM, AL 35217 Due Date 12/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/21/200$ 033849 $249.97
a
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
Date Officer