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Home My WebLink About191668 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1 ONE CIVIC SQUARE HALSEN PRODUCTS 4 0 r� CARMEL, INDIANA 46032 PO BOX 877 CHECK AMOUNT: $3,042.76 BELMONTMS 38827 CHECK NUMBER: 191668 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356001 0108721 -IN 462.44 UNIFORMS 2201 4239011 0108722 -IN 2,580.32 SPECIAL DEPT SUPPLIES INVOICE PACE: 1 HALSEN PRODUCTS COMPANY P.O. BOX 877 BELMONT, MS 38827 NATIONWIDE i -OW344 -6696 FAX 1-800- 826 -8839 INVOICE NUMBER: 0108721 -IN INVOICE DATE: 10/29/2010 ORDER NUMBER: ORDER DATE: SALESPERSON: 0523 CUSTOMER NO: 0230327 SOLD TO SHIPTO CITY OF CARMEL STREET DEPARTMENT ACCOUNTS PAYABLE DEPT BONNIE CALLAHAN 3400 W 131ST ST 3400 WEST 131 STREET Westfield, IN 46074 Westfield, IN 46074 CONFIRM TO: BONNIE CUSTOWV wpb. SE IIi? VIt1~ FOB TERMS BONNIE UPS Net 30 ITEM NO. UNI I ORDERED SHIPPED.;, BAGK`OR ©ER. PRICE'. AMOUNT BJM92K EACH 576 576 0 0.620 357.1.2 BROWN JERSEY GLOVE New Invoice 357...12 r Less Discount: 0.00 THANK YOU FOR YOUR ORDER Freight: 105.32 Sales Tax: 0.00 Invoice Total: 462.44 Less Deposit: 0.00 47777 4 1PIVOICE BALANCE INVOICE PAGE: 1 HALSEN PRODUCTS COMPANY P.O. BOX 877 BELMONT, MS 38827 NATIONWIDE 1 -800-344 -6696 INVOICE NUMBER. FAX 1-800-826-88a9 0108722-IN INVOICE DATE: 10/29/2010 ORDER NUMBER: ORDER DATE: SALESPERSON: 0,523 CUSTOMER NO: 0230327 SOLD TO SHIP TO CITY OF CARMEL STREET DEPARTMENT ACCOUNTS PAYABLE DEPT BONNIE CALLAHAN 3400 W 131ST ST 3400 WEST 131 STREET Westfield, IN 46074 Westfield, IN 46074 CONFIRM TO: BONNIE CUSTOMER P.O.- SHIPVIA F3B T`ERMS BONNIE UPS Net 30 ITEM NO. UNIT ORDERED. SHIPPED BACK ARDER PRICE AMOUNT TC -18FL EACH 500 500 0 4.950 2475.00 18" TRAFFIC CONES i Net Invoice 24 0 0 Less Discount: 0.00 THANK YOU FOR YOUR ORDER Freight: 105.32 Sales Tax: 0 Invoice.Total: 2580,32 Less Deposit:, 0.00 2580.32 INVOICE BALANCE V OUCHE R NO. WARRANT NO. ALLOWED 20 Halsen Products IN SUM OF P. O. Box 877 Belmont, MS 38827 $3,042.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TfTLE AMOUNT Board Membei 2201 0108721 -IN 43- 560.01 $462.44 1 hereby certify that the attached invoice(s), or 2201 0108722 -in 42- 390.11 $2,580.32 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 Thursday, November 04, 2010 Street Comrriis`dioner Strt;n eu, 111 i uJJrUf Title ler Cost distribution ledger classification if claim paid motor 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 showy 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) 10/29/10 0108721 -IN $462.44 10/29/10 0108722 -in $2,580.32 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 ,20 Clerk- Treasurer