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196439 04/13/2011
CITY OF CARMEL, INDIANA VENDOR: 00350856 Page 1 of 1 ONE CIVIC SQUARE LEHIGH SAFETY SHOES CHECK AMOUNT: $669.99 CARMEL, INDIANA 46032 PO Box 371958 PITTSBURG PA 15250 -7958 CHECK NUMBER: 196439 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 294935 69.99 O'T'HER EXPENSES 651 5023990 681177 150.00 OTHER EXPENSES 651 5023990 681178 150.00 OTHER EXPENSES 651 5023990 681179 150.00 OTHER EXPENSES 651 5023990 681180 150.00 OTHER EXPENSES Close Window oe,A r' www.Lehi 9 m hOutfitters.co Save up to 25 Buy online with CustomFit! O In�RSII Tired of paper invoices? Ask for EIPP electronic Billing! Call 1 -800 -444 -4086 Lehigh Outfitters, LLC Customer .No. Order No. Invoice Date Invoice No. 39 East Canal Street Nelsonville, Ohio 45764 085893 00000 14761 11 /02/10 1294935 Sold To: Ship To: CARMEL WATER& WASTEWTR norman riley TREATMENT PLANT CARMEL WATER& WASTEWTR 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL, IN 46032 INDIANAPOLIS,IN 46280 US Customer's Order !Number Mobile Unit Order Date Terms 027288 10/29/10 30 DAYS NET Sales Employee Employee Unit Merch Adj Sales Sery Frt! Line Cash Company [BalDue mployee Pay Slip Id Name Dept Style W Size Qty Price Amt Amt Tax Fee Misc. Total Recv Subsidy D0 014761 RILEY, NORMAN 5235 W 7.5 1 69.99 69.99 69.99 69.99 69.99 Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Reeeived Company Subsidy Employee Bal Due 1 69.99 1 1 1 69.99 Original Invoice To assure proper credit Please detach this portion and return with remittance. REMITTANCE ADVICE Cust. No. Invoice No. Invoice Date .Amt. Due Invoice Due Date Terms 085893 1 294935 11/02/10 69.99 12/02/10 30 DAYS NET Invoice To: PLEASE REMIT PAYMENT TO: Customer 08589300000 CARMEL WATER& WASTEWTR Lehi Invoice No. 294935 TREATMENT PLANT gh Outfitters, LLC P.O. BOX 371958 Invoice Date 11/02/10 760 3RD AVE. SW Summary Total Due 69.99 CARMEL, IN 46032 PITTSBURGH PA 15250 7958 USA US Amount Paid 0 .q 1506589300000 294935 110210 00006999 5 Close Window E www.LehighOutfitters.com 4 Save up to 25%. Buy online with Custom Fit! �Cf H Tired of paper invoices? Ask for EIPP electronic Billing! O�IGK Oe� J Call 1-800-444-4086 Lehigh Outfitters, LLC Customer No. I Order No Invoice Date I Invoice No. 39 East Canal Street Nelsonville, Ohio 45764 1085893 00000 14776 1 11 /02/10 1681180 Sold To: Ship To: CARMEL WATER& WASTEWTR dennis russ TREATMENT PLANT CARMEL WATER& WASTEWTR 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL, IN 46032 INDIANAPOLIS,IN 46280 US Customer's Order Number Mobile Unit Order Date 'Perms 027288 10129/10 30 DAYS NET Sales Employee Employee Unit Merch Adj Sales Sery Frt/ Line Cash Company Employee Pay Slip Id Name Dept Style W Size Qty Price Amt Amt Tax Fee Misc. Total Reev Subsidy But Due Ded. 014776 RUSE DENNIS G4354 M 10 l 150.00 150.00 €50.00 150,00 150.00 fatal Qty Tota] Merchandise Adjustment Sales =Freight Cash Received Company Subsidy Employee Bal Due 150.00 150.00 Original Invoice To assure proper credit Please detach this portion and return with remittance. REMITTANCE ADVICE Cost. No. Invoice No. Invoice Date Amt. Due Invoice Due Date Terms 085893 681180 11/02/10 150.00 12/02/10 30 DAYS NET Invoice To: PLEASE REMIT PAYMENT TO: Customer 08589300000 CARMEL WATER& WASTEWTR Lehigh Outfitters, LLC Invoice No. 681180 TREATMENT PLANT P.O. BOX 371958 Invoice Date 11/02/10 760 3RD AVE. SW PITTSBURGH PA 15250 -7958 Summary Total Due 150.00 CARMEL, IN 46032 USA US Amount Paid 50 '00 1508589300000 661180 110210 00015000 5 Close Window f r. www.LehighOutfitters.com sI� Save up to 25%. Buy online with Custom Fit! 'r �ITTEQ$.{ON C 1 800 444-4086 Ask f EIPP electronic Billing! Lehigh Outfitters, LLC Customer.No. I Order No. I Invoice Date Invoice No. 39 East Canal Street Nelsonville, Ohio 45764 1085893 00000 14773 11102/10 1681179 Sold To: Ship To: CARMEL WATER& WASTEWTR leney patton TREATMENT PLANT CARMEL WATER& WASTEWTR 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS,IN 46280 us Customer's Order Number Mobile Unit Order Date Terms 027288 10129/10 30 DAYS NET Sales Employee Employee Unit Merch Adj Sales Sery Frt/ Line Cash Company Employee Pa y Slip Id Name Dept Style W Size Qty price Amt Amt Tax Fee Misc. Total Reev Subsidy Bal Due Ded. 014773 PATTON I -ENEY G4354 M 11 1 150.00 150.00 150.00 150.00 150.00 Total Qty al Merchandise Adjustment Sales Tax Sery Fee Freight Cash Received Company Subsidy Employee Sal due 1 150.00 150.00 Original Invoice To assure proper credit Please detach this portion and return with remittance. REMITTANCE ADVICE Cust. No. Invoice No. Invoice Date Amt. Due Invoice Due Date Terms 085893 681179 11/02/10 150.00 12/02/10 30 DAYS NET Invoice To: PLEASE REMIT PAYMENT TO: Customer 08589300000 CARMEL WATER& WASTEWTR Lehigh Outfitters, LLC Invoice No. 681179 TREATMENT PLANT P.O. BOX 371958 Invoice Date 11/02/10 760 3RD AVE. SW PITTSBURGH PA 15250 -7958 Summary Total Due 150.00 CARMEL, IN 46032 USA US Amount Paid O 'OV 1508589300000 681179 110210 00015000 7 Close Window r' www.LehighOutfitters.com �LENI Save up to 25 Buy online with CustomFit! OFIfi TERS.n Tired of paper invoices? Ask for EIPP electronic Billing! e GKJ. Call 1- 800 444 -4086 Lehigh Outfitters, LLC 39 East Canal Street Customer :No. 10rder No. I Invoice Date Invoice No Nelsonville, Ohio 45764 085893 00000 14769 111/02/10 681178 Sold To: Ship To: CARMEL WATER& WASTEWTR david turner TREATMENT PLANT CARMEL WATER& WASTEWTR 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL, IN 46032 INDIANAPOLIS,IN 46280 US Customer's Order Number Dlobile Unit Order Date Terms 027288 10/29/10 30 DAYS NET Sales Employee Employee Unit Merch Adj Sales Sery Frt/ Line Cash Company Employee Pay Slip Id Name Dept Style W Size Qty Price Amt Amt Tax Fee llfisc. Total Recv Subsidy Bal Due Ded. 014769 TURNER, DAVID G4354 M 10 1 150.00 150.00 150.00 150.00 150.00 Total Qty Total merchandise I Adjustment $ales Tax Serr Fee Freight Cash Received Company Subsidy Employee Bal Due 1 150,001 1 1 150,00 Original Invoice To assure proper credit Please detach this portion and return with remittance. REMITTANCE ADVICE Cust. No. Invoice No. Invoice Date Amt. Due Invoice Due Date Terms 085893 681178 11 /02 110 150.00 12/02110 30 DAYS NET Invoice To: PLEASE REMIT PAYMENT TO: Customer 08589300000 CARMEL WATER& WASTEWTR Lehigh Outfitters, LLC Invoice No. 681178 TREATMENT PLANT P.O. BOX 371958 Invoice Date 11/02/10 760 3RD AVE. SW PITTSBURGH PA 15250 -7958 Summary Total Due 150.00 CARMEL ,IN 46032 USA US II Amount Paid I O W 1506589300000 661176 1'10210 00015000 9 Close Window www.LehighOutfitters.com l Save up to 25 Buy online with CustomFit! r. OI ITTERS.H Tired of paper invoices? Ask for EIPP electronic Billing! 0 y Call 1- 800 -444 -4086 Lehigh Outfitters, LLC 39 East Canal Street Customer ,No. I Order No. Invoice Date Invoice No. Nelsonville, Ohio 45764 1085993 00000 14766 11/02/10 1681177 Sold To: Ship To: CARMEL WATER& WASTEWTR brad olvier TREATMENT PLANT CARMEL WATER& WASTEWTR 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL, IN 46032 INDIANAPOLIS,IN 46280 US Customer's Order Number Mobile Unit Order Date I Terms 027288 10/29/10 30 DAYS NET Sales Employee Employee Unit Merch Adj Sales Sery Frt/ Line Cash Company Employee Pa} Slip Id Name Dept Style W Size Qty Price Amt Amt Tax Fee Misc. Total Recv Subsidy Ral Due Ded. 014766 OLVIER, BRAD 64354 W I1 l 150.00 150.00 150.00 150.00 150.00 314CRIM MAMN IM CEO am= Dump Total Qty Total Merchandise Adjustment Sales Tax I Sery Fee Freight Cash Received Company Subsidy Employee Bal Due 1 150.001 150.00 Original Invoice To assure proper credit Please detach this portion and return with remittance. REMITTANCE ADVICE Cust. No. Invoice No. Invoice Date Amt. Due I Invoice Due Date Terms 085893 681177 11/02/10 150.00 12102110 30 DAYS NET Invoice To: PLEASE REMIT PAYMENT TO: Customer 08589300000 CARMEL WATER& WASTEWTR Lehigh Outfitters, LLC Invoice No. 681177 TREATMENT PLANT P.O. BOX 371958 Invoice Date 11/02/10 760 3RD AVE. SW PITTSBURGH PA 15250 -7958 Summary Total Due 150.00 CARMEL, IN 46032 USA US Amount Paid l, J0 t© 1508569300000 661177 110210 00015000 1 VOUCHER 107464 WARRANT ALLOWED 350856 IN SUM OF LEHIGH SAFETY SHOES CO. P.O. Box 371958 Pittsburgh, PA 15250 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code tea 681177 01- 7202 -06 44-5'M (50. 150. kg1g3 5 Voucher Total 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 350856 LEHIGH SAFETY SHOES CO. Purchase Order No. P.O. Box 371958 Terms Pittsburgh, PA 15250 Due Date 415!2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4!512011 681177 $15.00 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