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156075 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 354608 Page 1 of 1 ONE CIVIC SQUARE ACE INDUSTRIAL SUPPLY INC CARMEL, INDIANA 46032 7535 SAN FERNANDO BLVD CHECK AMOUNT: $985.85 BURBANK CA 91505 -1044 CHECK NUMBER: 156075 CHECK DATE: 2/6/2008 DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 803591 985.85 MATERIALS SUPPLIES I Ace Industrial Supply, Inc. 7535 San Fernando Blvd. Burbaak, Cry 11505 -1044 Invoice No. 803591 Telephone: (800) 223 -3129 Order 100525 Fax 3175712645 ACCT NO. 11757:12645 3175712 1311E To: Ship To: CARMEL SEWER DEPARTMENT CA101EL Sl ti\'E11 1) E PAItTMENT 7603RD AV1`, SV1 S'f E I IO 760 3RD AVIE S11' STE llll CARM.EL, IN 46032 CAR:I IFL, 7N 46032 USA USA PO 01dered lay Sales Code Terms Invoice Date Date Due. PAUL A10ONE (,.M NE 1` 30 (11/1 4/08 IO2 /13108�� Unit Extended Order Shipped Item Number Item Description Quantity Price Price 100 300 ��O� E31?0WN JERSEY GLOVES 9 O%, Wi KNIT WRIST 0.00 0.00 150 150 605 BROWN .ILEZSEY GLOVL'S 9 0%. W/ KNIT WRIST 0.00 0400 6 6 579 SAFETY GLASSES ACE V11 R INDOOR 0.00 0.00 0UTD00R 6 6 91 L F'I.ASI IL.IGH'1 0.00 0.00 I I PACKA GE PACKAGE PRICE 798.00 798.00 I 1 8CAL 1 CALENDAR PROMOTIONAL 0.00 0.00 I ALL MERCHANDISE MUST BE RETURNED WITHIN 30 DAYS OF THE DELIVERY DATE IN ITS ORIGINAL CONDITION F. i 1 109.75 SIC 71.10 Sales Tax 11.00 SELLER REPRESENTS THAT WITH RESPECT TO PROTECTION OF THE ARTICLES Date D U e Invoice Total S 985.85 AND /OR THE PERFORMANCE OF THE SERVICES COMBINED BY THIS INVOICE IT HAS FULLY COMPLIED WIRTH THE FAIR LABOR STANDARDS ACT OF 1938 AS A&%ENDED 021 3/O8 This is vour invoice. No st-atement will follow. VOUCHER 077176 WARRANT ALLOWED 354608 IN SUM OF ACE INDUSTRIAL SUPPLY 7535 San Fernando Blvd Rurbank, CA 91505 -1044 v Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 803591 01- 7200 -01 $985.85 ,i Voucher Total $985.85 ''Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 354608 ACE INDUSTRIAL SUPPLY Purchase Order No. 7535 San Fernando Blvd Terms Burbank, CA 91505 -1044 Due Date 1/28/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/28/2008 803591 $985.85 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer