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181819 02/03/2010 o CITY OF CARMEL, INDIANA VENDOR: 029100 Page 1 of 1 ONE CIVIC SQUARE BREHOB CORPORATION CHECK AMOUNT: $183.50 I CARMEL, INDIANA 46032 1334 S MERIDIAN ST PO BOX 2023 ,,ri CHECK NUMBER: 181819 INDIANAPOLIS IN 46206 -2023 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 519336 183.50 OTHER EXPENSES ELECTRIC DIVISION (317) 231 8080 AIR COMPRESSOR DIVISION &Ai Indianapolis (317) 231 8090 BrIiob ORIGINAL INVOICE— PAGE 1 Fort Wayne (260) 490 -5237 J Dayton (513) 755 -1300 Detroit (248) 658 -1600 Columbus (614) 228 -2647 Electric Air Compressor Crane Hoist CRANE HOIST Indianapolis DIVISION p (317) 231-8080 Cincinnati (513) 755-1300 Louisville (502) 499 -8080 Fort Wayne (260) 490-5237 P.O. Box 2023. 1334 S. Meridian St. Sales Parts Repair Service Rental Crane Manufacturing Indianapolis, IN 46206 2023 24 Hour Emergency Service Sold To Ship To CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES ATTN: A/P 9609 N. RIVER RD. 760 3RD AVE., SW #110 INDIANAPOLIS, IN CARMEL, IN 46280 -0000 46032 -0000 JEFF COOPER 571 -2634 JOB NO. SO# INVOICE DATE INVOICE NO. 01 58046700 1/19/10 CITCA 519336 DATE ENTERED GUST ORDER NO SALESMAN SHIPMENT REQUESTED SHIP VIA DATE SHIPPED TERMS; F0.8. Ind'.napAls 1/14/10 S11946 110 1/14/10 DIRECT CUST PIC 1/14/10 NET 30 QUANTITY DESCRIPTION UN T PRIC EXTEND PF E snIPCED ogDEn M3542 183.50 1 3..5 1 1 .75 1800 56 3PH TEFC BALDOR MTR THANK YOU FOR YOUR ORDER RUDY BRINKER INVOICE TOTAL 183.50 'Past Due Invoices are subject to a service charge of 1 per month. Our permission must be obtained before returning merchandise to us. Thank o u. Acceptance of Brehoh's product or services shall be deemed to constitute an agreement on the part of the Buyer to the terms and conditions set forth on the reverse side of this document which supersede all previous agreements. The terms and conditions stated herein shall take precedence over any other conditions and no contrary, additional or different conditions shall be binding on Brehob unless accepted by Brehob in writing. VOUCHER 097193 WARRANT ALLOWED 29100 IN SUM OF BREHOB CORPORATION 1334 S MERIDIAN ST PO BOX 2023 INDIANAPOLIS, IN 46206 -2023 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 519336 01- 7202 -06 $183.50 0 [61° Voucher Total $183.50 Cost distribution ledger classification if claim paid under vehicle highway fund 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 29100 BREHOB CORPORATION Purchase Order No. 1334 S MERIDIAN ST Terms PO BOX 2023 Due Date 1/25/2010 INDIANAPOLIS, IN 46206 -2023 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/25/2010 519336 $183.50 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 1/2 Date Officer