HomeMy WebLinkAbout198133 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 364212 Page 1 of 1
t ONE CIVIC SQUARE HOOSIER SEALING CO CHECK AMOUNT: $63.02
CARMEL, INDIANA 46032 582
INDIANAPOLIS 46217
CHECK NUMBER: 198133
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 15953 63.02 OTHER EXPENSES
Hoosier Sealing 317 446 -4409 tel Invoice
Supply Co. 317-789-2151 fax
Date Invoice
5822 Rahke Road
Indpls, IN 46217 4/14/2011 15953
Bill To Ship To
Carmel Water Dept. Carmel Water Dept.
130 l st. Ave. SW 5484 E. 126th. Street
Carmel, In 46032 Carmel, In 46033
Your P.O. Terms Rep Ship Date Ship Via FOB IPS PO
verbal Dan Net 30 Days Mong 4/14/2011 UPS Indpls, iN Stock
Qty Ordered Qty Shipped Item Description Unit Price Amount
12 12 Packing Hook... Packing Hook Tips, C1 Small 4.68 56.16
1 0 Pry Bars Packing Pry Bars Small 50.00 0,00
Shipping 6.86 6.86
Total $63.02
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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
364212
HOOSIER SEALING SUPPLY CO Purchase Order No.
5822 RAHKE RD Terms
INDIANAPOLIS, IN 46217 Due Date 6/2/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2011 15953 $63.02
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
VOUCHER 111421 WARRANT ALLOWED
364212 IN SUM OF
HOOSIER SEALING SUPPLY CO
5822 RAHKE RD WAS
INDIANAPOLIS, IN 46217 OP ERAnONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
15953 01- 6200 -04 $63.02
Voucher Total $63.02
Cost distribution ledger classification if
claim paid under vehicle highway fund