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162869 08/20/2008 I CITY OF CARMEL, INDIANA VENDOR: 357836 Page 1 of 1 ONE CIVIC SQUARE MERSS CORP CARMEL, INDIANA 46032 1017 W 23RD STREET CHECK AMOUNT: $614.22 INDIANAPOLIS IN 46208 CHECK NUMBER: 162869 TON O CHECK DATE: 8/20/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 19039 15903 614.22 VALVES i r MERSS CORPORATION INVOICE 1017 West 23rd Street Indianapolis, IN. 46208 Date Invoice 317 632 -7299 Fax: 317 632 -5822 7/15/2008 15903 z Bill To Ship To Carmel Clay Park Carmel Clay Park 1427 E 116th St 1427 East 116th Street Carmel IN 46032 Carmel, IN 46032 JUL 1 8 2008 Courtney Schlaegel, 571 -4144 JUL 1 4 2008 P.O. Number Terms Due Date Ship Via F. 19039 Net 20 days 8/4/2008 UPS Indpls 4602 Qty Shipped Description Unit Price Amount 1 456539X Valve, 1/2" Burkert Type 6213 117.00 117.00 2 457339F Valve, 1" Burkert Type 6213 243.00 486.00 Shipping charges 11.22 11.22 UPS Tracking 1Z4324020397021806 NOTE: THIS COMPLETES THIS ORDER 2% PER MONTH SERVICE CHARGE ON UNPAID BALANCE AFTER 20 DAYS. All Invoices Are Subject To Collection Fees. Thank you for your business. 4602 Total M.. 16,14.22 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 19039 F 357836 Merss Corporation Terms 1017 W 23rd Street Indianapolis, IN 46208 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/15/08 15903 Repairs 614.22 Total 614.22 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 Voucher No. Warrant No. 357836 Merss Corporation Allowed 20 1017 W 23rd Street Indianapolis, IN 46208 In Sum of 614.22 ON ACCOUNT OF APPROPRIATION FOR 101 -General PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 19039 F 15903 4237000 614.22 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 31 -Jul 2008 Signature 614.22 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund