HomeMy WebLinkAbout161124 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00352777 Page 1 of 1
ONE CIVIC SQUARE USA BLUE BOOK
CARMEL, INDIANA 46032 Po Box 9004 CHECK AMOUNT: $105.19
GURNEE IL 60031 -9004 CHECK NUMBER: 161124
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 606833 105.19 OTHER EXPENSES
z
USN RIM 11 INVOICE
TEL: (847) 689 -9781 606833 1 of 1
Remit to: FAX: (847) 689 -3001
P.O. Box 9004 TOLL FREE: 1 800 493 9876
Gurnee, IL 60031 -9004 F.E.I.N.: 36- 3645787 163145 7 0 6/ 0 3/ 08
BILL TO: SHIP TO:
163145 4
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
ATTN DAN JENKINS
SALES,
CUSTOMER PO;NO SHIP DATE SLP TERMS TAX,CODEM oaoeRrvo. W�Ht FREIGHT y SHIP-VIA
DAN FAX 06/03/08 MIA 1°s /10 NET 30 INEXEMPT 457356 01 PREPAID UPS
USA STOCK NO 9, DESCRIPTION ORDERED,SHIPPED pRDER U/M PRICE PER EXTENSION
80011 Gasket Scraper 5 5 0 EA 7.09 EA 35.45
(KD No. KD485)
101190 Hook Pick Set 4 Pc 5 5 0 EA 11.95 EA 59.75
HC Hard Copy 1 1 0 EA .00 EA .00
1
THANK YOU for your business! e DISCOUNT
e
1.5% MONTHLY FINANCE CHARGE 1 0
ON AMOUNTS 30 DAYS PAST DUE 95.20 .00 .00 .00 9.99 105.19
Discounts Apply to Merchandise Only
Should it become necessary to refer your unpaid balance to a collection agency, a collection fee, not to exceed 25% of the
balance referred; plus reasonable attorney's fees; and court costs when necessary, will be added to the balance due.
Prescribed by State Board of Accounts
Forn',Wo.301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
r DETAILED ACCOUNTS
ACCOUNTS PAYABLE
MUNICIPAL WATER DEPT. ACCT.
N0.
S 1 ICARM EL, INDIAN �EW
us R F l �C f z
Total Amount of Voucher
Deductions
3 1
1. `cib• b v 1
Amount of Warrant in
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325