166109 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
0 ONE CIVIC SQUARE AGRO CHEM
CARMEL, INDIANA 46032 2045 S WABASH STREET CHECK AMOUNT: $107.61
WABASH IN 46992
CHECK NUMBER: 166109
CHECK DATE: 11/24/2008
DEPARTMENT AC PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
2201 4237000 IN00412035 58.16 REPAIR PARTS
jr2201 4237000 IN00412578 49.45 REPAIR PARTS
r`
NOV- 12- 2008,WED 02;47 PM agro them inc. FAX NO. 260 563 8124 P. 02
AGRO CHEM, INC. Invoic Date Page
Jul 21, 2008 1
2045 S. Wabash Street invoice Number
Wabash, Indiana, 46992 IN00412035
AG
USA
Phone: 800 686 -5680
Fax: 888- 281 -4321
i
sold To: Ship To:
CARMEL STREET DEPT CARMEL STREET DEPT
3400 W 131 STREET 3400 W 131 STREET
CARMEL, IN 46074 CARMEL, IN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
Order No. Order Date Gustomor Na. Salesperson PO Number Shlp Vla Terms
ORD0367517 Jul 21, 2008 6074CS 2 SH0004 STD
Qty. Qty. Qty.
Ord_ Shp. 910 Item Number Description Unit Price UOM Extended Price
1.0000 1.000( 0.000C BF300 3" BLIND FLANGE 29.61 EACH 29,61
1,0000 1,000t 0,000C ST300 3" POLYPRO SIPHON TUBE 14.04 EACH 14,04
1.0000 1.000( 0.000 PLUG300 3" POLY PIPE PLUG 7.46 EACH 7.46
MC0001 SHIPPING HANDLING 7.05
Due Date Amount Duo Discount pate Disc. Amount
Aug 20, 2008 58.16 Jui 31, 2008 0.00
Comments: Tax summary: Subtotal 58.16
Total sales tax 0100
OEDO01 0.00
Total amount 58.16
Less payment 0.00
Less pmt. disc 0.00
Amount due 58.16
NOV -12 -2008 WED 02;47 PM agro chem inc. FAX NO. 260 663 8124 P. 03
AGRO CHEM, INC. Invoice Date Page
Jul 29, 2008 1
2045 S. Wabash Street Invoice Number
Wabash, Indiana, 46992 ING0412578
USA
i
Phone: 800 -880 -5680
Fax: 888 -281 -4321
Sold To: Ship To:
CARMEL STREET DEPT CARMELSTREEI'DEPT
3400 W 131 STREET 3400 W 131 STREET
CARMEL. IN 46074 CARMF= IN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
Order No. Order Date Customer No. Salesperson PO Number Shlp Via Terms
ORD0368002 Ju129,2008 607408 2 5H0004 STD
Qty. ty. qty.
Ord. Shp, SIO Item Number Description Unit Price UOM Extended price
1.0000 1.000( 0.000 12000 REPAIR KIT FOR 8J PUMP- SEAL/GSKT 42,77 EACH 42.77
MC-0001 SHIPPING HANDLING 6,68
Due Date Amount Due Discount Date Disc. Amount
Aug 28, 2008 49.45 Aug 08, 2008 0.00
Comments: Tax summary: Subtotal 49.45
Total sales tax 0.00
OE0001 0.00
Total amount 4145
Less payment 0.00
Less pmt. disc 0.00
Amount due 49.45
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))
07/21/08 I N 00412035 $58.16
07/29/08 IN00412578 $49.45
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
VOUCHER NO, VMRRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$107.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 IN00412035 42- 370.00 $58.16 1 hereby certify that the attached invoice(s), or
2201 IN00412578 42- 370.00 $49.45_ 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, November 20, 2008
J
Street Corpiaiissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund