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198778 06/22/2011
CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1 ONE CIVIC SQUARE JOHN THOMAS CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK AMOUNT: $124.49 CARMEL IN 46033 p CHECK NUMBER: 198778 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 206 4462838 123758094 103.99 STORM WATER PHASE II 2200 4344160 4925 20.50 CELLULAR PHONE FEES Page 1 of 2 Order Confirmation Web Confirmation Number: 123758094 Updated On: 06 -07 -11 Source: Web ITEMS LIST Line Product Item Qty US Price Total Price 1 2755325 Ammonia (Nitrogen) Test Strips, 0 -6.0 mg /L, 25 tests 3 $19.25 $57.75 2 1440042 1000 pS /cm Conductivity Standard; 491 mg /L NaCl, 100 mL 1 $14.35 $14.35 Subtotal: $72.10 Shipping: $15.95 Total (before Taxes): $88.05 CONTACT INFORMATION Name: Sara McMullen Phone: 317- 571 -2314 e -mail: smcmullen @carmel.in.gov BILLING ADDRESS SHIPPING ADDRESS Company: CARMEL ENGINEERING DEPT Company: CARMEL ENGINEERING DEPT Dept /Div: Dept /Div: Attn name: Attn /Rcvng: Address: 1 CIVIC SQ Address: 1 CIVIC SQ City: CARMEL City: CARMEL State: Indiana State: Indiana Zip: 46032 -7569 Zip: 46032 -7569 Country: United States Country: United States Phone: Phone: Fax: PAYMENT P.O. Number: 25801 Credit Card Holder Name: John G Thomas Credit Card Ref. Number: Tax Exempt order: Yes Promotions Reward Program Offer Code: P3 Account Number: SHIPPING DETAILS FREIGHT INFORMATION Freight Payment Method Freight Payment Method: Pre -paid Shipping Options and Shipping Method Shipping Option: Ship order complete Shipping Method: Standard surface shipping TERMS Orders containing hazardous items may require special shipping. If changes to your shipping method are required, you will be notified by Hach customer service. https:// www .hach.com /hc /DOC.TXDOC.EXECUTE ACTION TX DOC /Procurement /Po 6/7/2011 AmeriMerc.com Order Receipt Page 1 of 2 ORDER STATUS EMAILUS FREECATALOG VIEW CART CHECKOUT FREESHIPPING' A9oUTUs 877.891.7665 Keywords Or Item# Search I Home I P ool Supp Commercial Pool I Hot Tub Sp I Garden Pat I Saun S I Au Acr essory I Gift Idea I DEALS Thenk you for your order Please note that this is a copy of your receipt You can print this for your own records. atamra a. :J G ruv —T Your Credit Card will be billed by Amerimerc L.L.C. a:E 17JUn -1 18'11 GMT If you have any questions or concerns regarding your order `McAfee SECU RE' WA:;, TFSTID DNLT 07 -TUNE Request' a Free COalog or call us at 1.877.891.7665. Click For more information about the RETURN POLICY Order Details: Item No, Item Unit Price Quantity Frieght SubTotal 4 &1349 Pool Check Phospate Test Strips 511.95 1 $o,00 $11.95 EMAIL US The Cart Total $11.95 Handling $3.99 FREE SHIPPING Shipping $0.00 small $3.9910 57.99 Tax $0.00 handling fee r nrdar The Grand Total $15.94 Order Handling Billing Address Shipping Address: Amount Fee John Thomas John Thomas Less than $3,99 1 CIVIC SQUARE Engineering Department 1 CIVIC SQUARE Engineering Department $25.00 Carmel Carmel IN -46032 IN -46032 $50.00 $5 Over $7 99 $50.00 Shipped From order Number: 136802 Amerimerc LL C. Total Amount: $15.94 779 E. Cenlrel IMchda. KS 67202 Return to Home Page UcL�er t:en�rrmutlok'1# 13(�$�2 b at, o� �Er}�r (vf�I2o1I HOME I CHECKOUT I VIEW CART I WEB MASTER I SITE MAP I PRODUCTS I AFFILIATE PROGRAM FEEDBACK I REFUND POLICY I FREE SHIPPING INFO I CONTACT US I CUSTOMER SERVICE ©Copyright 2000 -2011 AmeriMerc LLC All rights reserved. Privacy Policy Legal Notice, https:/ /www.amerimere.com /Shoppingcart /receipt. asp 6/7/2011 T— MOBILE 9536 14641 -13 US -31 Register #3 CARMEL, IN 46032 -1020 /1 Trans #4925 Qa 17)575 -8184 Uj 06-08-201111:22:47 x: (317)575-8284 City of Carmel M bile 3172523308 Sales Rep: 1253 37 2 -1 Quantity Unit SKU Description Price Extension (Reflects Any Discounts) 1 EACH 000000610214624932 RETAIL LOOSE ACTIVATION 10.00 10.00 T KIT V1010 Serial 012378000024360 Not Discount Eligible 1 EACH EPIN10 ELECTRONIC PIN $10.00 10.00 10.00 T RETAIL STORE Not Discount Eligible Serial 247258221 ivE Pin 3249- 4861- 577705 Redeemed in Store? Yes 1 EACH ZZZ260R030 SIM PLUG 64K T— MOBILE 0.00 0.00 N UICC Serial 8901260462432741393F Pre —paid Activation Not Discount Eligible SALE AMOUNT 20.00 911 2@ 0.25 0.50 TOTAL 20.50 Visa 7799 05524A —20.50 Reference 786752175 It's your phone, make it your own with T— Mobile accessories! Shop for cases, chargers, headsets, memory and more at your T— Mobile store, or visit us online at www.T— Mobile.com l 11bu Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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)) Total 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. 1 ALLOWED 20 IN SUM OF 1.1 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 12 .3~1 2S5 5 1 bill(s) is (are) true and correct and that the G j materials or services itemized thereon for which charge is made were ordered and received except 20 1 e t"& Title Cost distribution ledger classification if claim paid motor vehicle highway fund