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HomeMy WebLinkAbout198010 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 362073 Page 1 of 1 ONE CIVIC SQUARE ANDAX INDUSTRIES, LLC CARMEL, INDIANA 46032 613 WEST PALMER STREET CHECK AMOUNT: $156.01 ST MARYS KS 66536 roN o CHECK NUMBER: 198010 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467004 50581 156.01 HAZARDOUS MATERIALS lnvoice 613 W Palmer Street Saint Marys, KS 66536 Invoice No Page', Tel: 785- 437 -0604 50581 1 Fax:785 -437 -0616 6/1/2011 http: /www,andax.com Bill To: Ship To: CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT ATTN: GARY BRANDT ATTN: GARY BRANDT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 US US Order`No Order date Customer No !oc Sales Rep a PCI NN in b Sh�p� `via PPD 45030 6/1/2011 1004144 4._ 87 GARY BRANDT BEST WAY Prepaid Quantity orrJered Qty Shipped /Returned �T It Item price U M exte nd ed Total Quarit�ty�onback order` �Descriptibn ©!scount% P_0, pr ...T. M v. Az.0 MF �r >k t x a a w.... w a a s b�.._ C e 1 1 TTF -050 148.00 EA 148.00 50 GAL TANK TRAP STORED SIZE 14 "D X 4 "H Comments: Sales amount: 148.00 Miscellaneous amount: 0.00 Freight: 8.01 KS Sales Tax: 0.00 Subtotal: 156.01 Amount Received: 0.00 PAST DUE INVOICES SUBJECT TO MIN $75.00 COLLECTION FEE PLUS 1.7401h 'Total FINANCE CHARGE PER MONTH Payment terms: NET 30 DAYS Customer Copy 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)) 50581 HM Eqpt. $156.01 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. WARRANT NO. ALLOWED 20 Andax Industries, LLC IN SUM OF 613 West Palmer Street s St. Mary,, KS 66536 $156.01 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members 1120 I 50581 1 102 670.04 I $156.01 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 IN -6 2011 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund