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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