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CITY OF CARMEL, INDIANA VENDOR: 00352503 Page 1 of 1
ONE CIVIC SQUARE MIDLAND ELECTRIC SUPPLY INC
CARMEL, INDIANA 46032 5818 MASSACHUSETTS AVE CHECK AMOUNT: $497.03
Lt'oM_`o:�e INDIANAPOLIS IN 46218 CHECK NUMBER: 155420
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 29644 5.73 MATERIALS SUPPLIES
651 R5023990 510931 29644 491.30 MONITOR
MIDLAND ELECTRIC SUPPLY, INC. INVOICE
5818 MASSACHUSETTS AVENUE
INCIANAPOLIS, IN 46218 -2567 Invoice Number: 29644
Invoice Date: Dec 18, 2007
Page: 1
Voice: (317) 542 -1096
Fax: (317) 549 -0645
CARMEL W.W.T.P. CARMEL W.W.T.P.
ACCOUNTS PAYABLE 9609 HAZEL DELL PARKWAY
9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280
INDIANAPOLIS, IN 46280 USA
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CAR528 S10931 1% 10, Net 30 Days
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Sales Rep ID F� T ��z� Shipping Method 3y S x c��� ue to
MDB UPS Ground 12/6/07 1/17/08
5.00 SLA- 230 -ALA DIVERSIFIED PHASE LOSS MONITOR 98.26 491.30
DPDT CONTACTS
REF SO 65944
YOU MAY DEDUCT $4.91 DISCOUNT
ONLY IF PAID BY 12/28/07.
Subtotal 491.30
Sales Tax
Freight 5.73
Total Invoice Amount 497.03
Check /Credit Memo No: Payment /Credit Applied
NO
VOUCHER 076975 WARRANT ALLOWED
352503 C) IN SUM OF
:MIDLAND ELECTRIC SUPPLY
INC
,ti5818 Massachusetts Avenue
'Indianapolis, IN 46218
I
I
Carmel Wastewater Utility
j ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
29644 01- 7200 -04 $491.30
29644 01- 7200 -04 $5.73
1
P
t
Voucher Total $497.03 j
r: I
Cost distribution ledger classification if
claim paid under vehicle highway fund
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-4
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER F
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where 4
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352503
MIDLAND ELECTRIC SUPPLY INC Purchase Order No.
5818 Massachusetts Avenue Terms
Indianapolis, IN 46218 Due Date 12/28/2007
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/28/200, 29644 $497.03
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