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HomeMy WebLinkAbout192455 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1 ONE CIVIC SQUARE HALSEN PRODUCTS CARMEL, INDIANA 46032 PO BOX 877 CHECK AMOUNT: $1,524.07 BELMONT MS 38827 CHECK NUMBER: 192455 CHECK DATE: 12/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356001 0109010 -IN 1,524.07 UNIFORMS V I E PAGE: 1 HALSEN PRODUCTS COMPANY tl P.O. BOX 877 BELMONT, PAS 38827 NATIONWIDE 1- 800 -344 -6696 INVOICE NUMBER: 0109010 IN FAX 1- 800 -826 -8839 INVOICE DATE: 11/19/2010 ORDER NUMBER:. ORDER DATE: SALESPERSON: 0523 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 45074 CONFIRM TO: BONNIE CUSTOMER RO'. 7 1 SHIP`VIA BONNIE UPS Net 30 ITEM NO. UNIT F.-I EQ SHIPPED_ BACKORDER PRICE. AMOUNT ANSI3LY -L EACH 50 50 0 20.000 1000.00 SAFETY VEST LIME GREEN TLASS 3 ANSI3LY X EACH 25 25 0 20.000 500.00 SAFETY'VEST LIME :GREEN TLASS 3 Ne-t In- voice; 15.0.0-00 Less Discount: 0.00 THANK YOU FOR YOUR -ORDER Freight: 24.07 Sales Tax: 0.00 Invoice- Total: 1524.07 Less Deposit: 0.00 1 52 4 f1`7 INVOICE BALANCE VOUCHER NO. WARRANT NO. ALLOWED 20 Halsen Products IN SUM OF P. O. Box 877 Belmont, MS 38827 $1,524.07 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 0109010 -IN 43- 560.01 $1,524.07 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 Thursday, Decembe'(�02, 2010 If Street Commissioner V C4rAp* r'•- ,mmiccinrar Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 11/19/10 0109010 -IN $1,524.07 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