HomeMy WebLinkAbout199019 07/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 365417 Page 1 of 1
ONE CIVIC SQUARE GLENROCK COMPANY
CARMEL, INDIANA 46032 PO BOX 95279 CHECK AMOUNT: $128.00
o� PALATINE IL 60095 CHECK NUMBER: 199019
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4235000 1131666 128.00 BUILDING MATERIAL
INVOICE
Remit to: INVOICE NUMBER
Glenrock Company 1131666
P.O. Box 95279
Palatine, IL 60095 Invoice Date Page
6/24/2011 08:50 :49 1 of 1
630 -530 -9600
Compafiy ORDER NUMBER
N 1142271
Bill To: Ship To:
City of Carmel /Street Department City of Carmel /Street Department
3400 W. 131st Street WILL CALL
Carmel, IN 46074 IN
Customer ID: 15998
PO Number Terms Description Net Due Date Primary Salesrep Name
an cock street Net 30 07/24/11 Account House Indiana
Order Date Pick Ticket No Currier Taker
6/8/201108:51:33 1143739 WILL CALL CUSTOMER P/U RBRIDGFORD
Quantities Pricing
Item ID UOM Unit Extended
Item Description Price Price
Ordered Shipped Rearaining Unit She
4.00 4.00 0.00 9942HSC CTG 3100 128.00
DENEEF HA CUT HOTSHOT 10.5 OZ CTG 12 /CS I
Total Lines: 1 SUB TOTAL: 128.00
TAX. 0.00
AMO UNT D UE: 128.00
YOU CAN ALSO CHECK US OUT ONLINE AT:
www.GlenrockCompany.com
`ORIGINAL
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))
06/24/11 1131666 $128.00
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. WAR NO.
Glenrock Company ALLOWED 20
IN SUM OF
P. O. Box 95279
Palatine, IL 60095
$128.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1131666 42- 350.00 $128.00 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
y
Thu sda J�u 30, 2011
L
Street Commissii o r
al.r eL
Cost distribution ledger classification if
claim paid motor vehicle highway fund