HomeMy WebLinkAbout198007 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM
CARMEL, INDIANA 46032 2045 S WABASH STREET CHECK AMOUNT: $57.05
WABASH IN 46992 CHECK NUMBER: 198007
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 00487299 57.05 GARAGE MOTOR SUPPIE
AGRO CHEM, INC. Invoice Date Invoice
AGRaeHEM 2045 S WABASH STREET
5/12/2011 IN00487299
WABASH, TN 46992
Phone: 800 -686 -5680
Fax: 888 281 -4321
www.agrochem.com
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
ONE CIVIC SQUARE 3400 WEST 131 STREET
CARMEL,IN 46074 CARMEL,IN 46074
STATIvMx *ITS 'SEN 9. B r- MIOP.T I;iLy PLIEASE PAY F]. am IwOlC;
P.O. Number Rep Ship Via Terms Due Date
5 5/12/2011 UPS NET 30 DAYS 6/11/2011
Ordered Shipped BIO Item Code Description Price Each Amount
24 24 0 21319 DISPOSABLE CHEMICAL GLOVES 2.00 48.00
1 1 0 SHIPPING 9.05, 9.05
Total $57.05
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/12111 IN00487299 $57.05
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
20
Clerk- Treasurer
VOUCHER NO. W ARRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$57.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 IN00487299 42- 321.00 $57.05 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday?
Te 01, 2011
f 9
Street Commissi
Street Co-, tf issioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund