HomeMy WebLinkAbout192826 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1
r ONE CIVIC SQUARE HALSEN PRODUCTS CHECK AMOUNT: $450.56
CARMEL, INDIANA 46032 PO BOX 877
BELMONT MS 38827 CHECK NUMBER: 192826
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 0109187 -IN 450.56 UNIFORMS
VOCE PAGE: 1
HALSEN PRODUCT'S COMPANY
P.O. BOX 877
BELMONT, MS 38827
NATIONWIDE 1- 8-344 -5636 INVOICE NUMBER:
FAX 1- 800-826-8839 0109187-IN
INVOICE DATE:
12/6/2010
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 46074
CONFIRM TO:
BONNIE
CUSTOMER P:O 8HIP'VIA
F. O.B. TERMS
BONNIE UPS Net 30
ITEM NO. UNIT ORDERED SHIPPED BACK ORDER PRICE AMOUNT
LUX --KCR EACH 60 60 0 7.250 435.00
OCCULUX HI -VIS NITTED CAP, LI
Net Invoice-:- 43-5-00
__Less Discount: 0.00
THANK YOU FOR YOUR ORDER Freight: 1-5.56
Sales Tax: 0.00
Invoice Total: 450.56
Less Deposit: 0.00
50.
INVOICE BALANCE
VO NO. WARR N O.
Halsen Products ALLOWED 20
IN SUM OF
P. O. Box 877
Belmont, MS 38827
$450.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Member
2201 0109187 -IN 43- 560.01 $450.56 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
Friday De 10, 2010
I,tl r 1,1"u'LAO
d L'W t%
Street Commiss oner
Titfe,•
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))
12/06/10 0109187 -IN $450.56
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