HomeMy WebLinkAbout191262 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
0 ONE CIVIC SQUARE KIMBALL MIDWEST
CARMEL, INDIANA 46032 DEPT L -2780 CHECK AMOUNT: $47.88
COLUMBUS OH 43260 -2780
CHECK NUMBER: 191262
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1684158 47.88 MATERIALS SUPPLIES
a =r LL INVOICE INVOICE NO.
j�yj Y
PLEASE PAY FROM THIS INVOICE 1684158
I.DW T ORIGINAL ORDER NO.
SpcClali irr irz �lfrzterinls Mfcuiagerxen: since 19:3 0 2 9 6 6 3 2 E
REMIT TO: KIMBALL MIDWEST ACCOUNT NO.
DEPT. L -2780
COLUMBUS, OHIO 43260 -2780 (614- 219 -6100) 139903
www.kimballmidwest.com
SOLD TO: SHIP TO:
CITY OF CARMEL SEWER DEPT SEWER DEPARTMENT
760 3RD AVE SW 760 3RD AVE SW
ATTN LISA
CARMEL IN 46032 CARMEL IN 46032
PAUL
DATE SALES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED VIA8 DATE
Aim
10/11/10 COHEN, ROBER PAUL U UPS GROUND 10/11/10
ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT
DUE
9 9 8317445 GLOVE 35.91
831'7:455> ;GLOVE
3 3 7 :1 9 7.
To help us correctly process yq r payment please
ncaude; invo� ce number on your emittarice aduce
hank ypor r. busznss'..<, Payment 'a s. due, 11 /1 .J10
lease ;in i 1< by :1/
o recei e invoices via email send a request inc uding you
ccount utTber t invoice @kimballm�dw.est <.com
You acknowledge and agree that, by placing this order, all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest
Motor Supply Co., Inc. d /b /a Kimball Midwest. You further agree that this information is for your internal use only and will not be copied, reproduced, distributed
or dis closed by you and/or your orga nization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
CUSTOMER.
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BE ACCEPTED. 47. 88 4 7. 8 8
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES,
ALL CHECKS MUST BE MADE PAYABLE ONLY
TO'.KIMBALLMIDWEST" We Appreciate Your Business PLEASE REMIT THIS AMOUNT
VOUCHER 106419 WARRANT ALLOWED
351 074 IN SUM OF
Kimball Midwest
DEPT L -2780
COLUMBUS, OH 43260 -2780
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
I
1684158 01- 7200 -02 $47.88 1'
Voucher Total $47.88
Cost distribution ledger classification if
claim -paid under vehicle highway fund
i
Prescribed by State Board of Accounts City Form No. 201 {Rev
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
351074
Kimball Midwest Purchase Order No.
DEPT L -2780 Terms
COLUMBUS, OH 43260 -2780 Due Date 10/18/2010
Invoice I invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201( 1684158 $47.88
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