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190951 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1 ONE CIVIC SQUARE SERVICE PIPE SUPPLY INC CARMEL, INDIANA 46032 P.D. 33805 CHECK AMOUNT: $210.40 INDIANAPOLIS IN 46203 CHECK NUMBER: 190951 CHECK DATE: 10113/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 518536 210.40 OTHER EXPENSES SERVICE PIPE SUPPLY, INC. INVOICE P.O. BOX 33805 INDIANAPOLIS, IN 46203 Phone: 317- 639 -9308 Fax: 317-639-1335 Ervube 518536 bate' 09/29/10 a Paged 1 �Brfl To CARMEL WASTEWATER TREATMENT Ship To CARMEL WASTEWATER TREATMENT CARWASsE a 5' 760 3RD AVENUE S.W. 96(19 HAZE/ DELL PARKWAY CARMEL, IN 46032 ,9I INDIANAPOLIS, IN 46280 �:CustorrerPO# Sirrpped Salesperson Terms �g y� Ta_ x Code�� Doc Wt3 a Frerght Ship Vre '.—N L. n JEFF COOPER 09/28/10 004 B. FENTON 2% 10 DAYS N /30 NOTAX 268022 01 PREPAID SAME Item Descrrptron r prdered Shrppetl Backordrd unr Price u fxtensron' 999 4" 1504 H& G SET FF RR 6,00 6.00 ,00 F.A 7.49 EA 44.94 ZINC FASTENERS 999 6" 150# B& G SETS RR FF 8.00 8.00 .00 EA 11.54 EA 92.32 W/ ZINC FASTENERS 999 8" 150 B G SET RR FF 6.00 6.00 .00 EA 12.19 EA 73.14 W/ ZINC FASTENERS DONT FORGET TO APPLY CREDIT TO OPEN INVOICES, THANKS. ACCOUNTING Al 4 3 Rg a f c Y xy A t d rvF a A y g g yr •tea z. e �f„a a. ,.a. :��.n� �e�. ?R,y°e PLEASE DEDUCT 4.21 ��R9erchand ►se, ���M►sceL7 ►seount "TaxF e►ght Tofalpiie IF PAID BY 10 /09/10 ANN 210.40 .00 .00 .00 .00 210.40 NO RETURNS AFTER 90 DAYS MUST HAVE PAPERWORK THX. VOUCHER 106338 WARRANT ALLOWED 281250 IN SUM OF SERVICE PIPE SUPPLY INC P.O. 33805 INDIANAPOLIS, IN 46203 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 518536 01- 7202 -06 $210.40 Voucher Total $210.40 Cast 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 0 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 281250 SERVICE PIPE SUPPLY INC Purchase Order fro. P.O. 33805 Terms INDIANAPOLIS, IN 46203 Due Date 10/5/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/5/2010 518536 $210.40 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 ffic