HomeMy WebLinkAbout166546 12/10/2008 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: $55.08
WABASH IN 46992 CHECK NUMBER: 166546
(QN G
CHECK DATE: 1211012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 423 2100 IN00416486 55.08 GARAGE MOTOR SUPPIE
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AGRO CHEM, INC. Invoice Date Page
Nov 10, 2008 1
2045 S. Wabash Street Invoice Number
r p� Wabash, Indiana, 46992 IN00416486
AGRO•CHEM USA
Phone: 800 686 -5680
Fax: 888 281 -4321
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 Customer No. Salesperson PO Number Ship Via Terms
ORD0371612 Nov 10, 2008 6074CS 2 SH0004 STD
Qty. Qty. Qty:
Ord. Shp. B/O Item Number Description Unit Price UOM Extended Price
24.000124,00( O 21319 DISPOSABLE CHEMICAL GLOVES 2.00 EACH 48.00
MC0001 SHIPPING HANDLING 7.08
Due Date Amount Due Discount Date Disc. Amount
Dec 10, 2008 55.08 Nov 20, 2008 0.00
Comments: Tax summary: Subtotal 55.08
Total sales tax 0.00
OE0001 0.00
Total amount 55.08
Less payment 0.00
Less pmt. disc 0.00
Amount due 55.08
VOUCHER NO. WARRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$55.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 IN00416486 42- 321.00 $55.08 1 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, December 04, 2008
Street Commis ner
Title
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))
11/10/08 I N00416486 $55.08
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