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161296 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 00352867 Page 1 of 1 ONE CIVIC SQUARE CALIFORNIA CONTRACTORS SUPPLIE ACK AMOUNT: $80.70 o CARMEL, INDIANA 46032 7729 BURNET AVE VAN NUYS CA 91405 CHECK NUMBER: 161296 CHECK DATE: 7/11/2008 DEP ARTM E NT ACCO PO NUM INVOICE N UMBER AMOUNT DESCRIPTION 651 5023990 72116 80.70 OTHER EXPENSES CALIFORNIA CONTRACTORS SUPPLIES, INC. INVOICE No. 7729 BURNET AVENUE -A72116 VAN NUYS, CALIFORNIA 91405 PLEASE REFER TO THIS INVOICE NO. ANY (800) 423 -2953 QUESTIONS REGARDING THIS INVOICE OR FOR REORDERING CALL TOLL FREE (818) 785 -8823 (8001423 -2953 CUSTOMER'S ORDER N0. ORDER DATE MARKETING REP. CODE MARKETING CO. DATE SHIPPED VERBAL 6 1 0 08 JF.RRY BUFFER B G 6 12 08 MM F SOLD I SHIP TO (SAME AS "SOLD TO UNLESS SHOWN) TO CARMEL SEWER DEPT ATTN PAUL ARNONE 901 N RIDGELINE 760 3RD AVE SW GARNER I N 46032 IF DELIVERY IS NOT MADE WITHIN 14 DAYS OF ABOVE "SHIPPING' DATE: L J NOTIFY US AT ONCE SHIPPED VIA PURCHASED BY TELEPHONE NO. TERMS 2% 10 DAYS NET 30 DAYS FX PAUL AR NONE 317 571 2645 1' /z% per month Service Charge added to Past Due Invoices QUANTITY SHIPPED DESCRIPTION UNIT PRICE AMOUNT 3 RATCHETING CARGO LASH 26.90 80,70 li x HANDLING NC CHARGE Uvv PAY THIS 80.70 AMOUNT 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. PLEASE RETURN THIS COPY WITH REMITTANCE VOUCHER 085825 WARRANT ALLOWED 00352867 IN SUM OF CALIFORNIA CONTRACTORS SUPPLII 7729 Burnet Avenue Van Nuys, CA 91405 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 72116 01- 7200 -02 $80.70 Voucher Total $80.70 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 6/30/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/30/2008 72116 $80.70 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