HomeMy WebLinkAbout198634 06/22/2011 CITY OF CARMEL, INDIANA VENDOR 362208 Page 1 of 1
ONE CIVIC SQUARE M E 5
I o CARMEL, INDIANA 46032 75 REMITTANCE DR CHECK AMOUNT: $77.17
SUITE 3135 CHECK NUMBER: 198634
CHICAGO IL 60675
CHECK DATE: 6/2 212 011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 00243688 77.17 REPAIR PARTS
Invoice MES IMES� 6975 Indiana Number oo /2011 _SNv
6975 Hillsdale Court Date 6/8/2011
Indianapolis, IN 46250 Page 1 of 2
Sales order SO 208422
•uxx+nrrw,wcunumca,uc Requisition
Your at
Telephone (888) 322 -8402 Our ref kschulthei
Fax 317 -596 -1701 Payment Net 30
Sales Rep kschulthei
Inv Acct 30195
Bill To: Ship To
CARMELFD CARMELFD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Denise Snyder
Item number Size Color Description Ouan Umt Umi Amount
62151000 SEAL RING FOR 8297 200 EA 861 1722
57631001 ELKHART RETAINER RING 200 EA 2150 4300
4000- 20 /SM -30 -F
64070000 ELKHART 4 -40X1 000 SOC 600 EA 075 4 50
CAP SCR SS
Merchandise Restocking Fee S&H Sales tax Discount Total due
6472 000 1245 000 000 7717 USD
Thank You For Your Order
AOref must 6e processed w1dMn 30 days of nicalpt ardm4ate a reaan aW/horkedmr manberard are aub/eat roe matOcIft lee.
Cuetan andam are notmflanatilles
Prescribed by Slate 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))
00243688 $77.17
1 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
MES
IN SUM OF
75 Remittance Drive
Chicago, IL 60675
$77.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept INVOICE NO. I ACCTWTITLE AMOUNT Board Members
1120 1 00243688 I 42 -370 00 I $77.17 I 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
�tj a t
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund