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191184 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 083080 Page 1 of 1 F' ONE CIVIC SQUARE EDGEWOOD BUILDING SUPPLY CHECK AMOUNT: $782.00 ?o CARMEL, INDIANA 46032 3749 SOLUTIONS CENTER CHICAGO IL 60677 -3007 CHECK NUMBER: 191184 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 94234533 78.00 OTHER EXPENSES 1093 4235000 94244003 704.00 BUILDING MATERIAL Fax Server 10/8/2010 3:23:07 PM PAGE 1 /001 Fax Server E DGU wv D 430 W. CARMEL DRIVE CARMEL, IN 46032 -2530 317 PLEASE NOTE NEW REMIT TO ADDRESS INVOICE SHIP CARMEL CLAY PARKS RECORATION BILL CARMEL CLAY PARKS RECORATION TO: 1411 E. 116TH STREET TO: 1411 E. 116TH STREET CARMEL IN 46032 CARMEL IN 46032 INVOICE v: 94244003 INVOICE DATE: 10/07/2010 1 of 1 CUSTOMER# CUSTOMER PO# SALES ORDER# SALESPERSON CARRIER 1019752 23975 10318291 702 9999 DELIVERY DATE DEL.TICKET# QUANTITY PLANT UOM PRICE EXTENDED DESCRIPTION AMOUNT 10/06/2010 81716401 800.00 4008 EA 880.00/1000 704.00 WHIT 41 -43 -44 BL SM BRDWLK 2- 114X2 -1/4X9 41 CARIBBEAN/ 43 TANGERINE I 44 MAHOGANY Purchase y Description FD}3 MCC -PAT" P.O.# Q3971 Po c OCT 2010 G.L.# JC 3 Budget hda m alp yi (I s Line Descr BY: Purchaser Date Approval Date NON- TAXABLE TAXABLE SALES TAX TOTAL DUE 704.00 704.00 TERMS: MAKE CHECKS PAYABLE T0: Before 10 of nxt mo.10% disc -Net bet 30 of nxt me. Edgewood Bldg Supply A service oharcde of 1- 112% per month which is an 3749 Solutions Centel annual rate of 18% will accrue 30 days after invoice Chicago, IL 60677 -3007 date, 1019752 94244003 www.edgewoodbuildingsupply.com Purchases of materials delivered and used in certain municipalities within Illinois and Indiana may be subject to a local use tax that you should self- assess. Please consuls your tax advisor to determine it this tax is aoolioable to vou. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Edgewood Building Supply Terms 3749 Solutions Center Chicago, IL 60677 -3007 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1017!10 94244003 Brick for MCC path 23975 704.00 Total 704.00 1 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 20_ Clerk- Treasurer IIIL I` Voucher No. Warrant No. Edgewood Building Supply Allowed 20 3749 Solutions Center Chicago, IL 60677 -3007 In Sum of 704.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 94244003 4235000 704.00 1 hereby certify that the attached invoice(s) or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 21 -Oct 2010 'A fi Signature 704.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund E e CITY OF CARMEL DEPT OF RELATIONS Statement Date 09/30/2010 ONE CIVIC SQUARE Customer 1019648 CARMEL, IN 46032 Page 1 of 1 Date Invoice Job Address Original Payments /Credits Balance Due Amount Invoice On'Invoice 09/16/10 94234533 ONE CIVIC SQUARE 78.00 0.00 78.00 .Total Brick 78.00 0.00 78.00 Service fee 0.00 D t P l Service Fee Total Due 0.00 78.00 Current. Over 30 days Over 60 days Over 90 days Over 120 days 78.00 0.00 0.00 0.00 0.00 A late payment charge of 1 112% per month or an APR of 18% will be imposed monthly on past due balances. Remit to: EDGEWOOD BUILDING SUPPLY, 3749 Solutions Center, Chicago IL, 60677 VOUCHER NO. WARRANT NO. ALLOWED 20 Edgewood Building Supply IN SUM OF 3749 Solutions Center Chicago, IL 60677 $78.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office 1160 Mayor's Office #854 Gift Fund PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 94234533 7 8. 0 0 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except A Mayo Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Bdgewood Building Supply Purchase Order No. 3749 Solutions Center Terms Chicago, IL 60677 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/16/10 94234533 Veteran's Brick $78 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 20 Clerk- Treasurer