HomeMy WebLinkAbout197216 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1
0 ONE CIVIC SQUARE HALSEN PRODUCTS
CARMEL, INDIANA 46032 PO Box 877 CHECK AMOUNT: $299.78
BELMONT MS 38827
CHECK NUMBER: 197216
CHECK DATE: 5/11/2011
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 0110892 -IN 299.78 UNIFORMS
1
HALSEN PRODUCTS COMPANY u V V O M E PAGE:
P.O. BOX 877
BELMONT, MS 38827
NATIONWIDE 1- 800 343.6696 INVOICE NUMBER: 0110892 IN
FAX 1- 800 826 -8835
INVOICE DATE: 4/26/2011
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. SHIP- VIA FO;B: —,TERMS
BONNIE UPS Net 30
ITEM NO. UNIT ORDERED SHIPPED ZACK"ORDER PRICE. AMOUNT
BJM92K EACH 43 432 0 0.620 267.84
BROWN JERSEY GLO E
Net Invoice 2.67_._8.4_.......
Less Discount: 0.00
Freight 31.94
S
THANK YOU FOR YOUR ORDER ales Tax;
Invoi'ce Total': 299.78
Less Deposit.:. 0.00
_.9
INVOICE BALANCE
VOUC NO. WAR NO.
Halsen Products ALLOWED 20
IN SUM OF
P. O. Box 877
Belmont, MS 38827
$299.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Member,
2201 0110892 -IN 43- 560.01 $299.78 I 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 ,ay 05, 2011
L0/;YjW
Street CommisiVer
Street Coq,7t essioner
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))
04/26/11 0110892 -IN $299.78
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
20
Clerk- Treasurer