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191572 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00351425 Page 1 of 1 ONE CIVIC SQUARE C T W ELECTRICAL CO, INC 0 CARMEL, INDIANA 46032 CHECK AMOUNT: $360.50 601 SAYRE COURT GREENWOOD IN 46143 CHECK NUMBER: 191572 CHECK DATE: 11110/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 1083997 -01 3.50 REPAIR PARTS 2201 4237000 1084093 -01 121.50 REPAIR PARTS 2201 4237000 1084706 -00 235.50 REPAIR PARTS CTW Electrical Co., Inc. CM 601 Sayre Court I N V O I C E Greenwood, IN 46143 8001428 -3004 Fax: 8001833 -7134 UPC V INVOICE DATE INVOICE NO. http://www.ctwinc.com 000000 10/28/10 1084093 -01 3350 Ship To: Carmel Street Dept. P.D. NO. PAGE a 3400 West 131st St. MIKE 1 Carmel, IN 46074 Remit To: CTW Electrical Co., Inc. 601 Sayre Court Greenwood, IN 46143 Bill To: Carmel Street Dept. 3400 West 131st St. INSTRUCTIONS Carmel, IN 46074 SHIP POINT VIA SHIPPED TERMS CTW Electrical Co., Inc. UPS Comm -NFT 10/28/10 1 Net 30 Days SALESREP SALESREP NAME 028 Brian Windisch LN ITEM AND DESCRIPTION UPC ORDERED B.O. SHIPPED UM PRICE AMOUNT 2 0501 -868 00000 10 0 10 each 5.71100 57.11 Cap Screw Lot 1003537133739Z Qty: 10.00 3 0501 -914 00000 20 0 20 each 1.83550 36.71 Cap Screw Lot 1006564264105G Qty: 20.00 4 0501 -916 00000 10 0 10 each 2.06550 20.66 Cap Screw Lot 1004544593383G Qty: 10.00 7 4793 -036 00000 20 0 20 each 0.35120 7.02 Nylon Insert Grade 8 Nut 4 Lines Total Qty Shipped Total 60 Total 121.50 Invoice Total 121.50 Last Page Discrepancies in shipments must be made within 15 days of invoice. Returns will not be accepted without RGA number. No returns allowed on special order items. Items must be received in same packaging and quantity as shipped. Re- stocking charges may apply. Purchaser will be liable for interest, legal and collection costs if account is placed into collections. CTW Electrical Co., Inc. CrW 601 Sayre Court I N V 4 1 C E Greenwood, IN 46143 8001428 -3004 Fax: 800/833 -7134 UPC V INVOICE DATE INVOICE NO. http: /www.ctwinc.com 000000 10/29/10 1084706 -00 3350 Ship To: Carmel Street Dept. P.O. No. PAGE u 3400 West 131st St. MIKE 1 Carmel, IN 46074 Remit To: CTW Electrical Co., Inc. 601 Sayre Court Greenwood, IN 46143 Bill To: Carmel Street Dept. 3400 West 131st St. INSTRUCTIONS Carmel, IN 46074 SHIP POINT VIA SHIPPED TERMS CTW Electrical Co., Inc. UPS Comm -NFT 10/29/10 Net 30 Days SALESREP SALESREP NAME 028 Brian Windisch LN ITEM AND DESCRIPTION UPC ORDERED B.O. SHIPPED UM PRICE AMOUNT 1 TL -80888 00000 3 0 3 each 78.50 235.50 Light Kit 1 Lines Total Qty Shipped Total 3 Total 235.50 Invoice Total 235.50 Last Page Discrepancies in shipments must be made within 15 days of invoice. Returns will not be accepted without RGA number. No returns allowed on special order items. Items must be received in same packaging and quantity as shipped. Re- stocking charges may apply. Purchaser will be liable for interest, legal and collection costs if account is placed into collections. CTW Electrical Co., Inc. C;1 W 601 Sa Court I N V 0 1 C E Greenwood, IN 46143 800/428 -3004 Fax: 800/833 -7134 UPC V INVOICE DATE INVOICE N0. http: /www.ctwinc.com 000000 11/02110 1083997 -01 3350 Ship To: Carmel Street Dept. P.o. NO, PAGE# 3400 West 131st St. STOCK10 -12 1 Carmel, IN 46074 Remit To: CTW Electrical Co., Inc. 601 Sayre Court Greenwood, IN 46143 Bill To: Carmel Street Dept. 3400 West 131 st St. INSTRUCTIONS Carmel, IN 46074 SHIP POINT VIA SHIPPED TERMS CTW Electrical Co., Inc. UPS Comm -NFT 11/02/10 Net 30 Days SALESREP SALESREP NAME 028 Brian Windisch LN ITEM AND DESCRIPTION UPC ORDERED B.O. SHIPPED UM PRICE AMOUNT 10 8073 -029 00000 100 0 100 each 0.03500 3.50 Washer 1 Lines Total Qty Shipped Total 100 Total 3.50 Invoice Total 3.50 Last Page Discrepancies In shipments must be made within 15 days of invoice. Returns will not be accepted without RGA number. No returns allowed on special order items. Items must be received in same packaging and quantity as shipped. Re- stocking charges may apply. Purchaser will be liable for interest, legal and collection costs It account is placed into collections. VOUCHER NO. WARRANT NO. ALLOWED 20 CTW Electrical IN SUM OF 601 Sayre Ct. Greenwood, IN 46143 $360.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 1084093 01 42 370.00 $121.50 I hereby certify that the attached invoice(s), or 2201 1084706 -00 42- 370.00 $235.50 bill(s) is (are) true and correct and that the 2201 1083997 01 1 42 370.00 $3.50 materials or services itemized thereon for which charge is made were ordered and received except f l hursda'1' No �ber 04, 2010 Street Commiss over btreet Uo Tit e issioner 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 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/28/10 1084093 -01 $121.50 10/29/10 1084706 -00 $235.50 11/02/10 1083997 -01 $3.50 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 ,20 Clerk- Treasurer