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161749 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00352867 Page 1 of 1 ONE CIVIC SQUARE CALIFORNIA CONTRACTORS SUPPLIE- AMOUNT: $190.00 ,o CARMEL, INDIANA 46032 7729 BURNET AVE VAN NUYS CA 91405 CHECK NUMBER: 161749 CHECK DATE: 7/23/2008 4R EPARTMENT ACCOUNT PO NUMBER INV OICE NU MBER AMOUNT DESCRIPTION 601 5023990 77288 190.00 OTHER EXPENSES CALIFORNIA CONTRACTORS ,SIJPPL,IES, INC. INVOICE No. 7729 BURNET AVENUE 7 VAN NUYS CALIFORNIA 91405 PLEASE REFER TO THIS INVOICE NO. ANY (800) 423 2953 i QUESTIONS REGARDING THIS INVOICE OR FOR REORDERING CALL TOLL FREE (818) 785 8823 (8001423 -2953 CUSTOMER'S ORDER NO. ORDER DATE MARKETING REP. t CODE MARKETING CO. DATE SHIPPED SOLD SHIP TO (SAME AS "SOLD TO" UNLESS SHOWN) TO CITY OF CARMEL ATTN: R09 LOWELL .5484 E. 126TH ST IF- DELIVERY IS NOT MADE WITHIN 14 DAYS OF CARMEL IN 46033 ABOVE "SHIPPING" DATE: L NOTIFY US AT ONCE SHIPPED VIA PURCHASED BY. TELEPHONE NO. TERMS 2 10 DAYS NET 30 DAYS FX B LOWELL 317 571 2669 1 per month Service Charge added to Past Due Invoices QUANTITY SHIPPED DESCRIPTION UNIT PRICE AMOUNT 2 3 PC ALUMINUM PIPE WRENCH SET 95 190.00 RECEIVED BY �xV L DATE 7 5 y PO# ACCT# 6 A USE lr s_ HANDLING CHARGE NC PLEASE PAY FROM THIS .INVOICE PAY T HIS AMOUNT 1 90 a 00 NO STATEMENT RENDERED CCS GUARANTEE IF FOR ANY REASON YOU ARE NOT COMPLETELY SATISFIED, WE WILL GLADLY REPLACE YOUR ORDER, CREDIT YOUR ACCOUNT, OR 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. ORIGINAL INVOICE VOUCHER 082346 WARRANT ALLOWED 00352867 IN SUM OF CALIFORNIA CONTRACTORS SUPPLII 7729 BURNET AVENUE Q►�� VAN NUYS, CA 91405 R N' Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 77288 01- 6200 -04 $190.00 Voucher Total $190.00 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. j Payee 00352867 CALIFORNIA CONTRACTORS SUPPLIES INC Purchase Order No. 7729 BURNET AVENUE Terms VAN NUYS, CA 91405 Due Date 7/15/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/15/2008 77288 $190.00 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