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188053 07/21/2010 *f CITY OF CARMEL, INDIANA VENDOR: 281260 Page 1 of 1 ONE CIVIC SQUARE SEWER EQUIP CO OF AMERICA CARMEL, INDIANA 46032 1148 DEPOT ST CHECK AMOUNT: $726.56 GLENVIEW IL 60025 CHECK NUMBER: 188053 CHECK DATE: 7121/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 106144 726.56 MATERIALS SUPPLIES ,N 2111 Chestnut Ave, Suite 270 Glenview, IL 60025 Invoice No 0000106144 Phone: (847) 729 -3316 Customer 000565 SHIPPED TO ADDRESS: Bill to CARMEL, IN UTILITIES, CITY OF CARMEL, IN UTILITIES, CITY OF 901 N. RANGELINE RD. 760 3RD AVE SOUTHWEST CARMEL IN 46032 United States CARMEL IN 46032 Phone (312)747 -0267 Sales Order: 053043 Packing List:X62111 Customer PO Number Invoice Date Terms FOB Ship Via Salesperson 0710712010 NET IO DAYS. SHIPPING POINT CON -WAY CENTRAL CF- OD5794 Item Part 1 Rev 1 Description I Details Quantity Backorder Unit Price Extended Price 000001 91104 -00 -F CLAM, HAND1,12',LARGE CLAM 1.00 0.00 610.7300 610.73 000020 SHIPPING Shipping /Freight Charge, Ref Shipper No 1.00 0.00 115.8300 115.83 X62111 Shipped on 07/0612010 and Bill of Lading No 489828916 Total Item Price 610.73 Shipping 115.83 Sales Tax 0.00 Total Inv Price 726.56 Warrant start date for manufactured equipment is the d 3te the equipment is shipped unless the equipment delivery to the end user from the dealer will be delayed. The dealer must notify Sewer Equipment Company of America in writing within 30 days of shipmen This delayed warranty start date is subject to approval in writing by Sewer Equipment Company of America. We have full service repair facilities for all water pumps used on your jetting equipmen Contact us for all your pump component needs. Call 1 -800- 323 -1604, ask for Part s. Please pay balance due by Saturday July 17 2010. Please contact Accounts Receivable at 847 729 -3316 with any questions or concerns regarding your invoice. All balances past due are subject to a 11% per month late charge. CUSTOMER COPY Page 1 VOUCHER j0583.8 WARRANT ALLOWED 231260 IN SUM OF SEWER EQUIP CO OF AMERICA 1148 DEPOT ST GLENVIEW, IL 60025 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 106144 01- 7200 -02 $726.56 (0 Voucher Total $726.56 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 199 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 281260 SEWER EQUIP CO OF AMERICA Purchase Order No. 1148 DEPOT ST Terms GLENVIEW, IL 60025 Due Date 7/15/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/15/2010 106144 $726.56 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 C '-'E V'--, /G4 I J E Date Officer