HomeMy WebLinkAbout197398 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00351427 Page 1 of 1
ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS
CARMEL, INDIANA 46032 PO BOX 74189 CHECK AMOUNT: $499.65
CLEVELAND OH 44194 CHECK NUMBER: 197398
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 95062265 499.65 OTHER EXPENSES
Invoice PAGE: I
6affij
World Headquarters
3100 Hamilton Avenue 95062265 040512011 04130/2011
$I Ago 7977 Cleveland, Ohio 44114 It you would like to receive your invoice via fax, please
800-782-2436 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
SHIP TO:
IZOE44l6•Z9?03'USASC•782933816•0365.6,9 ill Ship-To No.: 518113
Customer No.: 490452
CARMEL SEWER DEPARTMEN CARMEL SEWER DEPT
ATTN: ACCOUNTS PAYABLE tj
760 3RD AVENUE SW STE#110 901 N RANGELINE RD 1309801
130'74001
CARMEL IN 46032 CARMEL, IN 46032 OMI-SAI Global
Customer P.O,: paul Sales Order: 4075504 Delivery: 80
Your Account Manager: 90148622 MICHAEL WELSH I Taxable: IN I
I
I
X
r.jt�pr
0 2 2'W 16306 24r7 D-STPOY D51D19 230.000 460.00
1. IMPORTANT: Please return remittance portion
of invoice with your paymen To assure proper Fs
A
slm� a
credit to your account, ALWAYS include your �Net `:8al' ex
amount customer number, invoice number, and a-11L es Sales T
paid with your remittance. 1 460.00 39.65 0.00 499.65
2. All shipments FOB 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. It you have any questions regarding this States Department of Labor issued under Section 14 thereof.
invoice please contact us at 1-800-722-2436.
PAY NO MONEY TO AGENTS FOR CHEMICAL EMERGENCY SPILL
LEAK, FIRE, EXPOSURE OR ACCIDENT
FED. TAX I.D. NO. All tax exempt customers CALL CHEMTREC DAY OR NIGHT
34-0552740 must submit tax exempt.
certificate with payment. (200) 424-9300 I
VOUCHER 115002 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
95062265 01- 7200 -02 $460.00
2 lr .S
Voucher Total ,,$4ff '00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 241 (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
351427
STATE INDUSTRIAL PRODUCTS /US ENGINEE Purchase Order No.
P.O. BOX 74189 Terms
CLEVELAND, OH 44194 Due Date 4/28/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28/2011 95062265 $460.00
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
SA
Date Officer