HomeMy WebLinkAbout155177 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM
CARMEL, INDIANA 46032 2045 S WABASH STREET CHECK AMOUNT: $3,465.00
WABASH IN 46992
CHECK NUMBER: 155177
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4463500 17518 IN00389141 3,465.00 BEET JUICE EQUIPMENT
�t
AGRO CHEM, INC.
Invoice Date Page
2045 S. Wabash Street Dec 13, 2007 1
Wabash, Indiana, 46992 Invoice Number
AGRHEM
Vr 1C USA IN00389141
Phone: 800 686 -5680
Fax: 888 281 -4321
1 Sold To:
Ship To:
CITY OF CARMEL INDIANA/ STREET DEPT
3400 WEST 131 STREET CITY OF CARMEL INDIANA/ STREET DEPT
WESTFIELD, IN 46074 3400 WEST 131 STREET
WESTFIELD, IN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
Order No. Order Date Customer No. Salesperson PO Number
ORD0347024 Dec 13, 2007 Ship V Terms
CA6.Q,_4
Qty. Qty. Qty.
Ord. Shp. B/O Item Number Description Unit Price UOM Extended Price
1.0000 1.000( 0.000 630171272 DCS 400 LIQUID DEICE CONSOLE 1,220.00 EACH 1,220.00
1.0000 1.000( o.000c 1150159955 DCS CABLE 225.00 EACH 225.00
1.0000 1.000( O.Oooc 1150159971 CABLE 120.00 EACH 120.00
1.0000 1.000( o.000c 630172177 2" REGULATING VALVE 520.00 EACH 520.00
1.0000 1.000( O 630171066 RFM 100P 3 -100 METER 495.00 EACH 495.00
1.0000 1.000( O.00OC 1150171060 CABLE 10.00 EACH 10.00
1.0000 1.000( O.00OC DSGVS18R RAVEN SPEED GV 275.00 EACH 275.00
1.0000 1.000( O.00OC ELABOR ELECTRONIC LABOR 600.00 EACH 600.00
Due Date Amount Due Discount Date Disc. Amount
Jan 12, 2008 3,465.00 Dec 13, 2007 0.00
Comments: Tax summary: Subtotal 3,465.00
Total sales tax 0.00
OE0002 0.00
Total amount 3,465.00
Less payment 0.00
Less pmt. disc 0.00
Amount due 3,465.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total
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
P JUCHER NO. WARRANT NO.
ALLOWED 20
Ij r0 C fy\, c IN SUM OF
EGA 6 5 Nyr�t
\Na-b "h l N
ON ACCOUNT OF APPROPRIATION FOR
Y
Board Members
PO# or DEPT. INVOICE NO. ACCT #!TITLE AMOUNT 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
ILN 7 200E 2
Sig ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund