HomeMy WebLinkAbout196809 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1
ONE CIVIC SQUARE HALSEN PRODUCTS
o CARMEL, INDIANA 46032 PO Box 877 CHECK AMOUNT: $173.49
BELMONT MS 38827
CHECK NUMBER: 196809
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0110744 -IN 173.49 SAFETY SUPPLIES
1
HALSEN PRODUCTS COMPANY N V OICE PAGE:
P.O. BOX 877
BELMONT, MS 38827
NATIONWIDE 1- 800 344 -6696 INVOICE NUMBER: 0110744-IN
FAX 1.600- 826 -8839 4/7/2011
INVOICE DATE:
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 PO: SWIP!JIA F.f]:B TERMS
BONNIE UPS Net 30
ITEM NO. UNIT ORDLRED SHIPPED BACKORDER PRICE 'AMOUNT
EACH 12 12 0
4.400 52!8'0__
ZONE II BLK /ICE 3LUE MIRROR
EACH 12 12 0 4.400 52.60
ZONE II BLK /ICE RANGE 4IRROR
EACH 12 12 0 4.600 55.20
ZONE II SILVER/ICE ORAN E MIRR
Net Invoice: 160.80
-Less Discount: 0.00
THANK YOU- FOR.YOUR ORDER Freight: 12.69
Sales Tax: 0.00
Invoice Total: 173.49
Less .Deposit: 0.00
173.49
INVOICE BALANCE
V NO. W ARRANT NO.
ALLOWED 20
Halsen Products
IN SUM OF
P. O. Box 877
Belmont, VIS 38827
$173.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member
2201 0110744 -IN 42- 390.12 $173.49 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
1 1 Thursday/I prit 21, 2011
�0 -JI L*
Street Commi ssi er
Stre -•.Qt Co fT pessioner
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))
04/07/11 0110744 -I N $173.49
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