156998 03/05/2008 F CITY OF CARMEL, INDIANA VENDOR: 00352867 Page 1 of 1
ONE CIVIC SQUARE CALIFORNIA CONTRACTORS SUPPLIEg CFIECK AMOUNT: $104.70
CARMEL, INDIANA 46032 77298URNETAVE
VAN NUYS CA 91405 CHECK NUMBER: 156998
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOI NUM BER AMOUNT DESCRIPTION
'651 5023990 41621 104.70 MATERIALS SUPPLIES
ALIFORNIA CONTRACTORS SUPPLIES, INC INVOICE No.
7799 BURNET AVENUE A 4 1 G 2 1
VAN NUYS, CALIFORNIA 91405 PLEASE REFER TO THIS INVOICE NO. ANY
I80 42S'2953 QUESTIONS REGARDING THIS- INVOICE OR
FOR REORDERING CALL TOLL FREE
(818) 785-8823 (8OOI423 -2953
CUSTOMER'S ORDER NO. ORDER DATE MARKETING -REP. CODE MARKETING CO. DATE SHIPPED
VE"BAL 2 8 03 JERRY BUFFER S L 2 13 06 PIM
SOLD F SHIP TO (SAME AS "SOLD TO" UNLESS SHOWN)
TO 991 N, RIDGELIN'E
CARPEL SEWER DEPT
ATTN P ARNON.
760 3RD PAVE SW.
CARMEL IN 46032 IF DELIVERY IS NOT MADE WITHIN 14 DAYS OF
ABOVE "SHIPPING" DATE:
L NOTIFY US AT ONCE
SHIPPED VIA PURCHASED BY TELEPHONE N0. TERMS 2% 10 DAYS NET 30 DAYS
F X PAUL A R N O N E 3 17 5 71'2645 1' /z% per month Service Charge added to Past Due Invoices
QUANTITY
'SHIPPED DESCRIPTION UNIT PRICE AMOUNT
3 9 LED HANDS FREE HEADLAMP 34.90 104
D� 0
�J
HANDLING
CHARGE C'
PAY THIS 1 04 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 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 077396 WARRANT ALLOWED
00352867 IN SUM OF
CALIFORNIA CONTRACTORS_ SUPPLII
7129 Burnet Avenue
"Van Nuys, CA 91405
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
41621 01- 7200 -02 $104.70
Voucher Total $104.70
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, a
price per unit, etc.
Payee
00352867
CALIFORNIA CONTRACTORS SUPPLIES ING Purchase Order No.
7729 Burnet Avenue Terms
Van Nuys, CA 91405 Due Date 2/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/25/2008 41621 $104.70
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- 1110 -1.6
Date Officer Officer