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157712 03/19/2008 \wf CITY OF CARMEL, INDIANA VENDOR: 00352757 Page 1 of 1 ONE CIVIC SQUARE WHELEN ENGINEERING COMPANY, INC i CARMEL, INDIANA 46032 ROUTE 145 CHECK AMOUNT: $28.00 51 WINTHROP RD CHECK NUMBER: 157712 CHESTER CT 06412 -0684 CHECK DATE: 3/19/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 R23992 28.00 REPAIR PARTS i I REPAIR INV ®ICE INVOICE NUMBER INVOICEiDATE PACKING LIST R23992 03/04/08 R239920 SSG ENGINEERING COMPANY INC. AC COUNT 'NUMBER ORDER DATE PACKAGES 51 Winthrop Road, Chester, CT 06412 -0684 454745 000 03/04/08 1 Phone: 860 -526 -9504 Fax: 860- 526 -4078 PAYMENTTERMS Accounts Receivable Fax: 860 -526 -3373 NET 30 DAYS Federal Identification Number: 06- 0725110 SOLD CARMEL FIRE DEPARTMENT SHIP CARMEL FIRE DEPARTMENT TO 2 CIVIC SQUARE TO 2 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 S ^LD TO PU I:'S� 0R ER NU BER SHIP TO PTJP.e.''IA,°.E ORDER NUT °BER 12569 12569 SHIPPED FREIGHT <TERMS REFERENCE UPS GROUND PREPAY DO NOT ADD REPAIR 271792 ORDER SHIP B/O ITEM DESCRIPTION UNIT PRICE DISCOUNT %a EXTENSION 1 1 01- 0683738500 (B) TICKET# 271792 0.00 0.00 ASS'Y, 900 LED LIGHTHEAD 12 VOLTS, MFG. DATE 02/2003 SIN 203, PIS 3127143, REPAIRED UNDER WARRANTY i 1 68- 1183542 -30 (A) TICKET# 271792 28.00 28.00 LENS, CLEAR 900 SERIES MFG. DATE 02/2003 REPLACED OUT OF WARRANTY UPS TRACKING NUMBERS FOR THIS SHIPMENT FOLLOW. TRACK YOUR SHIPMENT AT www.ups.com /tracking /tracking.html 1ZO177460348519723 3.0 LBS SHIPPING HANDLING 0.00 E X T E N D E D -S U -P P O R T H O U R S! NET PAYABLE TOTAL 28.00 For after hours Technical Support NO DISCOUNTS APPLY from 5:00 pm to 6:00 pm Eastern Time, please call 860-526 -9504 extension 2332. ID #00000000# PAGE 1 No returns without written authorization. Claims against this invoice for price or quantity must be filed in writing within 10 days of invoice date. 1 -1/2% interest charged per month on past due balances. Collection charges apply. f VOUCHER NO. WARRANT NO. Whelen Engineering Company ALLOWED 20 IN SUM OF 51 Winthrop Road Chester, CT 06412 $28.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 R23992 42- 370.00 $28.00 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 03/04/08 R23992 Lens for Amb. 45 $28.00 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