190276 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 358126 Page 1 of 1
0 ONE CIVIC SQUARE GOLDSTAR PRODUCTS INC
a CARMEL, INDIANA 46032 PO BOX 291630 CHECK AMOUNT: $1,649.16
DAVIE FL 33329 CHECK NUMBER: 190276
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 00180980043 1,649.16 OTHER EXPENSES
SOLD TO:
CARMEL CITY SEWER WATER
PAUL ARNONE
760 3RD AVENUE SW
CARMEL, IN 46032 INVOICE 0018098- 0043051
t In
W P.O. ORDER DATE: 8/24/2010
SHIP TO: BOX 291634 DA'VIE, FL 33329 CUSTOMER NO: 0018098
CARMEL CITY SEWER WATER 1-8
PAUL ARNONE SALES REP ID: R01
901 NORTH RANGELINE Tax ID 65- 0597470
CARMEL, IN 46032
CUSTOMER P.O. SHIP VIA TERMS DUE DATE
PAUL ARNONE MOST ECONOMICAL NET 30 DAYS 09/23/2010
SHIPPED ITEM NUMBER DESCRIPTION PRICE AMOUNT
2 618 -55 LB SUPER HIGH HEAT -55 LBS 769.45 1,538.90
HAZARDOUS SURCHARGE 20.00
SHIPPING HANDLING 90.26
For your convenience, we accept the American
CRED Express® Card and other major credit cards.
dT L&UT Please fill in the information bellow.
Mo. yr.
Account Number Fxpir6on Pate
X
Cardmember Signature Amount DaDate V/SA' M
RETURNS SUBJECT TO 30% RESTOCKING CHARGE PLUS FREIGHT. Net Order: 1 ,649.16
Make Check Payable to GoldStar Products. No returns without written permission. No returns accepted after 30 Sales Tax:
days. No Exceptions. The parties agree that any legal proceeding brought by either party in connection with or
arising out of this invoice shall be brought in Broward County, Florida and the prevailing party shall be entitled to Total Invoiice: 1,649.16
reasonable attorney's fees and all costs incurred including any appeal. Thank you For Your Order Prompt
payment assures good standing future credit.
Payment Received; 0.00
We hereby certify that these goods were produced in compliance with all applicable requirements of Section 6, 7,
and 12 of the Fair Labor Standards Act as amended, and regulations and orders of the U.S. Dept. of Labor issued Balance: 1,649.16
under Section 14 thereof.
INTEREST WILL BE ADDED AT LAWFUL RATES TO PAST DUE ACCOUNTS. Payable in US Funds Only
visit us at http :llwww.cioldstarproducts.net
VOUCHER 106213 WARRANT ALLOWED
il
+358126 IN SUM OF
GOLDSTAR PRODUCTS INC
PO BOX 291630
DAVIE, FL 33329
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
00180980043 01- 7200 -02 $1,649.16
Voucher Total $1,649 -16
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
358126
GOLDSTAR PRODUCTS INC Purchase Order No.
PO BOX 291630 Terms
DAVIE, FL 33329 Due Date 9/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2010 0018098004: $1,649.16
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