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185172 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 00352867 Page 1 of 1 ONE CIVIC SQUARE CALIFORNIA CONTRACTORS SUPPLIES 1N s CARMEL, INDIANA 46032 7729 BURNET AVE ZFiECK AMOUNT: $128.00 VAN NUYS CA 91405 CHECK NUMBER: 185172 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 63124 128.00 OTHER EXPENSES CA F.OR NIA CONTRACTORS SUPP 'IES INC. F INVOICE NO. r 7729 BURNS AVENUE 3 2 4 VAN NUYS, CALIFORNIA 91405 PLEASE REFER TD THIS INVOICE NO. ANY (800) 423 -2953 QU ESTIONS REGARDING THIS INVOICE OR FOR REORDERING CALL TOLL FREE (818) 785 -8823 1800) 423 -2953 CUSTOMER'S ORDER NO. ORDER DATE [MARKETING REP. CODE MARKETING CO. DATE SHIPPED. VERBAL. 4 2 1 10 ERRY BUFFER B G 4 XY' 10 MM SOLD SHIP TO [SAME AS "SOLD TD" UNLESS SHOWN TO CARMEL SEWER DEPT 901 N RIDGELI ATTN' PAUL ARNONE 760 3RD' AVE SW IF DELIVERY IS NOT MADE WITHIN 14 DAYS OF CARMEL I•N 46032 ABOVE "SHIPPING" DATE NOTIFY US AT ONCE SHIPPED VIA PURCHASED BY TELEPHONE NO. TERMS 2 0 /6 10 DAYS NET 30 DAYS EX PAUL ARNONE 317 571 2F 1' /z per month Service Charge added to Past Due Invoices. QUANTIT D DESCRIPTIO SHIPPE N' UNIT PRICE AMOUNT D 2 XERR EARPLUGS, DI SP. 200 :PARR 64.00 128 HANDLING CHARGE NC PLEASE PAY FROM THIS INVOICE PAY THIS lk AMOUNT. 128 .0.0 NO STATEMENT .RENDERED CCs GUARANTEE IF FOR ANY REASON YOU ARE NOT COMPLETELY SATISFIED,' WE'WIILL GLADLY REPLACE YOUR ORDER, CREDIT YOUR ACCOUNT OR REFUND YOUR MONEY WITHIN 30 DAYS AFTER RECEIPT OF RETURNED MERCHANDISE. ALL CLAIMS FOR SHORTAGES OR ERRORS MUST BE MADE ON RECEIPT OF GOODS. WE ARE NOT RESPONSIBLE FOR BREAKAGE OR SHORTAGE OPCARTONS FILE CLAIM WITH CARRIERS. ORIGINAL INVOICE VOUCHER 105384 WARRANT ALLOWED 00352867 IN SUM OF CALIFORNIA CONTRACTORS SUPPLY 7:729 Burnet Avenue Vati Nuys, CA 91405 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 63124 01- 7200 -02 $128.00 Voucher Total $128.00 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 LS 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 00352867 CALIFORNIA CONTRACTORS SUPPLIES INC Purchase Order No. 7729 Burnet Avenue Terms Van Nuys, CA 91405 Due Date 5/5!2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/5/2010 63124 $128.00 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 Date Officer