163657 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00352867 Page 1 of 1
ONE CIVIC SQUARE CALIFORNIA CONTRACTORS SUPPLIES AMOUNT: $308.26
CARMEL, INDIANA 46032 7729 BURNET AVE
VAN NUYS CA 91405
CHECK NUMBER: 163657
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 90716 308.26 OTHER EXPENSES
ALIF ®RIVIA COIOITRACT ®RS SUPPLIES, -INC, imVOiCE MO.
7729 BURNET AVENUE '4 �9 071
VAN NUYS, CALIFORNIA 91405 PLEASE REFER TO THIS INVOICE NO. ANY
(800) 4232953 QUESTIONS REGARDING THIS INVOICE OR
FOR REORDERING CALL TOLL FREE
(8181785- (800) 423 -2953
CUSTOMER'S ORDER NO. R RD�F} OA MARKETING REP. CODE MAR STING CO. DAB E
VBL L� 88 BILL STONE BS B u� `�8 ivN
SOLD F 71 SHIP TO (SAME AS SOLD TO UNLESS SHOWN)
To CITY OF CARMEL
ATTN ROB LOWELL
5484 E 126TH ST
CARMEL IN 46033 IF DELIVERY IS NOT MADE WITHIN 14 DAYS OF
ABOVE "SHIPPING" DATE:
L Sq 7 J NOTIFY US AT ONCE
SHIPPED VIA PURCHASED BY E pta, TERMS o
2 ROB LOWELL 31/ 7 1 2669 2�0 10 DAYS -NET 30 DAYS
FX
1' /z% per month Service Charge added to Past Due Invoices
QUANTITY
SHIPPED DESCRIPTION UNIT PRICE AMOUNT
2 MMNO VINYL DIPPED GLOVES 47,88 95,76
25 COVERALLS XL 4.25 106,25
25 LIS 4.25 106.25
RECEIVED
DA
HANDLING hl C
PO# CHARGE
ACCF# 6 y
rlr S U PAY THIS
USE C /fat AMOUNT 308.26
6
CCS GUARANTEE IF FOR ANY REASON YOU ARE NOT COMPLETELY SATISFIED, WE WILL GLADLY.
REPLACE YOUR ORDER, CREDIT YOUR'ACCOUNT, REFUND YOUR MONEY WITHIN 30 DAYS AFTER
RECEIPT OF RETURNED MERCHANDISE.
ALL CLAIMS FOR SHORTAGES OR ERRORS MUST BE MADE ON RECEIPT OF GOODS.
WE ARE NOT RESPONSIBLE FOR BREAKAGE OR SHORTAGE OF CARTONS FILE CLAIM WITH CARRIERS.
PLEASE RETURN THIS COPY WITH REMITTANCE
VOUCHER 082901 WARRANT ALLOWED
00352867 IN SUM OF
r' CALIFORNIA CONTRACTOR�PLI{
7729 BURNET AVENUE
VAN NUYS, CA 91405 U)
o
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
90716 01- 6200 -04 $308.26
I
Voucher Total $308.26
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
00352867
CALIFORNIA CONTRACTORS SUPPLIES INC Purchase Order No.
7729 BURNET AVENUE Terms
VAN NUYS, CA 91405 Due Date 9/10/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/10/2008 90716 $308.26
r
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
Date Officer