HomeMy WebLinkAbout194776 02/16/2011 CITY OF CARREL, INDIANA VENDOR: 00351427 Page 1 of 1
ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS CHECK AMOUNT: $960.39
CARMEL, INDIANA 46032 PO BOX 74189
CLEVELAND OH 44194 CHECK NUMBER: 194776
CHECK DATE: 211 612 01 1
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
651 5023990 94923705 960.39 7200.0
Invoice PAGE: 1
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World Headquarters Dai# iiii;?ti�: ircum
$8t® 3100 Hamilton Avenue 1 94923705 01/19/2011 02103/2011
slneo 7971 Cleveland, Ohio 44114 If you would like to receive your invoice via fax, please
800 782 2438 contact our Customer Service Department.
State Chemical is a Division of State Industrial Products Your Fax number on file is: 317- 571 -2265
Our Customer Service Phone number is: 1- 800 -782 -2436
1OW4429 29203 USA5_C'238058808'0357 1/1 VIII III�I IIIIIIIII I III O
Ship-To
p No.: 518113
customer No.: 490452
CARMEL SEWER DEPARTMEN CARMEL SEWER DEPT
ATTN: ACCOUNTS PAYABLE FA
760 3RD AVENUE SW STE #110 901 N RANG'ELINE RD I30 OD01
150 140011
CARMEL, IN 46032 iOMISRI Global
CARMEL IN 45032
Customer P.O.: paul Sales Order: 3997630 Delivery: 800756424
Your Account Manager: 90148622 MICHAEL WELSH Taxable: N
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0 4 4 BC 103665 2417 D STROY 135!019 217.000 868.00
1 IMPORTANT: Please return remittance portion
of invoice with your payment. To assure proper
credit to your account, ALWAYS include your <Net 1 1 es Shl pin &Processiri' Sales Tax T4TAL
customer number, *invoice number, and amount
Z with your remittance. 868.00 92.39 0.00 960.39
2. All shipments FOS nearest warehouse.
3. Claims for shortage or damaged goods must be We hereby certify that these goods were produced in compliance with
made within 5 days after receipt of goods. all applicable requirements of Section 6, 7 and 12 of the Fair Labor
4. No returns without written authorization. Standards Act as amended, and of regulations and orders of the United
5. If you have any questions regarding this States Department of Labor issued under Section 14 thereof.
invoice please contact us at 1- 800 782 -2436.
PAY NO MONEY TO AGENTS FOR CHEMICAL EMERGENCY SPILL,
LEAK, FIRE, EXPOSURE OR ACCIDENT
FED. TAX I.D. ND.
Ail tax exempt customers CALL CHEMTREC DAY OR NIGHT
34- 0552740 must submit tax exempt (800) 424 -9300
certificate with payment.
VOUCHER 107101 WARRANT ALLOWED
351427 IN SUM OF
STATE INDUSTRIAL PRODUCTS /US E
P.O. BOX 74189
CLEVELAND, OH 44194
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
94923705 01- 7200 -02 $960.39
Voucher Total $960.39
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361427
STATE IND USTRIAL PRODUCTS /US ENGINEE Purchase Order No.
P.O. BOX 74189 Terms
CLEVELAND, OH 44194 Due Date 2!912011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2011 94923705 $960.39
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