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157271 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 360941 Page 1 of 1 ONE CIVIC SQUARE UNDERWRITERS LABORATORIES INC CARMEL, INDIANA 46032 PO BOX 75330 CHECK AMOUNT: $99.50 a row CHICAGO IL 60675 -5330 CHECK NUMBER: 157271 CHECK DATE: 3/512008 DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 710090014069 99.50 EXTERNAL INSTRUCT FEE i I Please detach and return upper portion with payment. Please reference Invoice Number with payment. Customer Information ORIGINAL Underwriters Laboratories Inc. Invoice 710090014069 Chicago IL L 6 606 75- 5330 Box Bill To Account 554355 c06 United States Bill To Location 1123591 Invoice Date: 04 DEC 2007 Sales Order Payment Terms: Due On Receipt UL's FEIN 36- 1892375 P.O. 12359 Customer Contact: MR BRUCE KNOTT s Line Description Amount 1 Seminar Fee MEETING: SMOKE SEMINAR DATE: 11/14/2007 LOCATION: 99.50 LOMBARD, IL. Total Amount Due 99.50 USD Additional Information: Ship To: CARMEL FIRE DEPT .2 CIVIC SO CARMEL —IN- 46032 United States Former Subscriber Number for Bill- to For reference only: 100236- 228 For information regarding our services, please visit our website at www.ul.com. For billing questions and address changes, please contact your Customer Service Professional (CSP), at 1- 877- 854- 3577 or by fax at 1- 360- 817- 6278. 1000 -61 06/01 An independent organization working for a safer world with integrity, precision and knowledge. Page 1 of 2 e Invoice #:710090014069 Invoice Date: 04 DEC 2007 Bill To Account 554355 '•e itibna rmakio Please remit wire transfers to: NORTHERN TRUST 50 S. LaSalle Chicago, IL 60675 SWIFT Number: CNORUS44 Account Name: Underwriters Laboratories Inc. Account Number: 413860 ABA# 071000152 *Note: All Payments are to be made directly from an institution and from an account that are not subject to any trade sanction law. If you would like to use ACH as your method of payment (such as ACH, or FedEx), please refer to our website www.ul.com for further information. 1000-61 06101 An independent organization working for a safer world with integrity, precision and knowledge. Page 2 of 2 VOUCHER NO. WARRANT NO. ALLOWED 20 Underwriters Laboratories, Inc. IN SUM OF P.O. Box 75330 Chicago, IL 60675 $99.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept.# INVOICE NO. ACCT #/TITLE AMOUNT Board Members 10090014069 43- 570.04 $99.50 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)) 12/04/07 710090014069 Regis. Fees Knott Smoke Seminar $99.50 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