HomeMy WebLinkAbout198260 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365375 Page 1 of 1
ONE CIVIC SQUARE SHELTER INDIANAPOLIS
CARMEL, INDIANA 46032 14912 COLLECTIONS CENTER DR CHECK AMOUNT: $108.40
CHICAGO IL 60693 CHECK NUMBER: 198260
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
651 5023990 G749203 108.40 MATERIALS SUPPLIES
From:]BEACON ROOFING To:3175712265 CITY OF CARMEL WASTE Msg#3865421.0.1 06/01/2011 06:32 Page 2 of 3
S HELTER R /6 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
HELTER
D I S T R 1 8 U T 1 0 N
A Beacon Roofing Supply Company INVOICE
SHELTER INDIANAPOLIS G 749203
SHELTER INDIANAPOLIS 1 MV.0.j.0 Ew: DA T E W2fll 1
14912 COLLECTIONS CENTER DRIVE A
220 BELMONT ST., SUITE A 6/26/11
INDIANAPOLIS, IN 46222 CHICAGO, IL 60693 .-QQ:ST 0 x 292299
w E.... Telephone: 317-634-9378
PAGE NO. 1
CITY OF CARMEL WASTEWATER K> Customer Pickup
760 THIRD AVE SW
CARMEL, IN
46032
7
]A
292299 X78 Pickup NET 30 DAYS
.77777
X 7 7 X 7 X 7 7
JEFF COOPER 7.000 JECON. COIL JEFF COOPER
PRODUCT DESCRIPTION U/M QUANTITY UNIT PRICE EXTENSION
QEDARFEC14X50 QED ALUM ROLL FLSH ECON 14 "X50' RL 4 27.1000 108.40
I
-T0TAL-':A'M]6.W
7-7-7-7-7-
ECEIVED BY -:-.X7X.X7j- 7 7 7 7 7 7 7 7 7 7- 7 7 7 7
7
.001 .00 1 108 40
ALL SALES ARE SUBJECT TO THE ACCOMPANYING OR PRE-APPROVED TERMS AND
CONDITIONS, INCLUDING WARRANTY, DISCLAIMER AND LIMITATION OR REMEDIES
End of Invoice
MSTRINV
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
365375
SHELTER INDIANAPOLIS Purchase Order No.
14912 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 6/212011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2011 G749203 $108.40
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 tl 5- 11- 10 -1.6
Date Officer
VOUCHER 115208 WARRANT ALLOWED
365375 IN SUM OF
SHELTER INDIANAPOLIS
14912 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO 1NV ACCT AMOUNT Audit Trail Code
G749203 01- 7202 -06 $108.40
Voucher Total $108.40
Cost distribution ledger classification if
claim paid under vehicle highway fund