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HomeMy WebLinkAbout199201 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351427 Page 1 of 1 ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS CHECK AMOUNT: $493.65 CARMEL, INDIANA 46032 PO BOX 74189 CLEVELAND OH 44194 CHECK NUMBER: 199201 CHECK DATE: 7/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 95146471 493.65 MATERIALS SUPPLIES I n voke PAGE: 1 E bGtitYfi rSC AIoJ::::::: 'uffi` m World Headquarters �$at® 3100 Hamilton Avenue 95146471 06/1012011 06125/2011 slave 19111 Cleveland, Ohio 44114 If you would like to receive your invoice via fax, please 800 782 -2436 contact our Customer Service Department. State Chemical Is a Division of State Industrial Products Your Fax number on file is: 317- 571 -2265 Our Customer Service Phone number is: 1- 800 782 -2436 13196704•I9703•US SC-911375840-036S-6.9 1/1 IIIII�II'I IIII111111 II III Ship-To No.: 518113 Customer No.: 490452 CARMEL SEWER DEPARTMEN CARMEL SEWER DEPT ATTN: ACCOUNTS PAYABLE 'A 760 3RD AVENUE SW STE #110 901 N RANGELINE RD 1509001 CARMEL IN 46032 CARMEL, IN 46032 O MI -SAI 13AI 11 Global Customer P.O.: PAUL Sales Order: 4122785 Delivery: 800892883 Your Account Manager: 90148622 MICHAEL WELSH Taxable: N •:Q.•X•::.. .::............�E R?::: is 6. Gf![? t.:::::::.•:: G IG 0 2 2 C 103665 40 D STROP D511319 22 .000 454.00 1. IMPORTANT: Please return remittance portion of invoice with your payment. To assure proper credit to our account ALWAYS include L u e V Net .Sales ..:Shi in &PfoGessirl Sales: -Tax. <TpTAL customer number, invoice number, and amount paid with your remittance. 1 454.00 39.65 0.00 493.65 2. All shipments FOB nearest warehouse. 3. Claims for shortage or damaged goods must be We hereby certify that these goods were produced in compliance with made within 5 days after receipt of goods. all applicable requirements of Section 6, 7 and 12 of the Fair Labor 4. No returns without written authorization. Standards Act as amended, and of regulations and orders of the United 5. If you have any questions regarding this States Department of Labor issued under Section 14 thereof. invoice please contact us at 1- 800 782 -2436. PAY NO MONEY TO AGENTS FOR CHEMICAL EMERGENCY SPILL, LEAK, FIRE, EXPOSURE OR ACCIDENT FED. TAX I.D. NO. All tax exempt customers CALL CHEMTREC DAY OR NIGHT 34- 0552740 must submit tax exempt (800) 424 -9300 certificate with payment. VOUCHER 115365 WARRANT ALLOWED 351427 STATE INDUSTRIAL PRODUCTS /US E P.O. BOX 74189 CLEVELAND, OH 44194 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR :;.Board members PO INV ACCT -;AMOUNT Audit Trail Code 95146471 01- 7200 -02 $49L.35 Voucher Total $493.65 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351427 STATE INDUSTRIAL PRODUCTS /US ENGINEE Purchase Order No. P.O. BOX 74189 Terms CLEVELAND, OH 44194 Due Date 6/27/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/27/2011 95146471 $493.65 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 Date Officer