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199613 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365496 Page 1 of 1 s ONE CIVIC SQUARE OLDCASTLE ARCHITECHTURAL CARMEL, INDIANA 46032 PO BOX 281479 CHECK AMOUNT: $277.56 ATLANTA GA 30384 -1479 CHECK NUMBER: 199613 CHECK DATE: 7/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4235000 230095237 277.56 BUILDING MATERIAL I NVO I C E INVOICE NO: 230095237 INVOICE DATE: 06/28/11 ILI OldCa stle� DUE DATE: 07/28/11 DELIVERY NO: 3962151 Oldcastle 4DISchusters Remit To: 901 East Troy Avenue Oldcastle Architectural Indianapolis, IN 46203 P.O. Box 281479 Phone: 317 -787 -3201 Fax: 317 788 -5906 Atlanta GA 30384 -1479 USA SHIP T01PU: Schuster's Building Products 901 E Troy Ave MAIL TO: 171679 Indianapolis IN 46203 -5135 4838 1 NIB 0.390 E0376X 10630 0340873775 P815743 0001:0001 "I'I�'��IIII�I 1111. 1 11 1 1. 1 11 1 11111 11 1 1 SOLD TO: :171679 CITY OF CARMEL STREET DEPARTMENT City of Carmel Street Department 3400 W 131 ST ST 3400 W 131 st St CARMEL IN 46074 -8267 Carmel IN 46074 -8267 TR a J,OB NAME`, N ORDER NO aORUER DATE z b a Ct1ST PO`,NO "3 MP" SALESPERSCIN 0073579 116th Ditch 1002474827 06/15/11 PARKF House a a g w ;'a', r r „e_., 5 itti E ON fi .s a ".E TI ER vi.B .sx iQEL(VERYDATE sat�41. CARRIER, s� ire z �3� F O B <:iri, Net 30 Days No Discount 06/28/11 Customer Pickup (CO Only) r ,c =:T s: 'a .,x -�,ac r; �.<e° R;, LN ..:I ITEM t 3 Wil SHIP E, I .�2 ..CITYr NETPR{CE.,; iW TM tNON' ice. z...� r;g'e»":, �+.r''.I�, ,`u' Fi dis$e'a+� 4 I,. 3`� "_e` 'ry �rIri�4 G 'AM NT s.,, NO.� ro;��. �.��,�QxDES "CRIPTION mn.�u1IHSE .,UIM,..._���.PER. _.o a.�.� TAX 1 16053960 233 96.0 2.41 231.36 Keystone Universal Cap Gray EA 3 60050520 233 5.0 9.24 46.20 Adhesive SRW 29oz EA SAVE TIME AND MONEY WITH OUR FREE E- BILLING INVOICING SERVICE! You can now receive invoices much faster with our email of fax bill delivery! With email delivery, your invoices are sent once per day in one, easy to open file. You can even download our invoice data directly into your accounting package (such as QuickBooks(D). With fax delivery you get all your invoices once per day. To sign up, send your e-mail address to: e_bill @oldcastleapg.com ITEM TOTAL' ti, 277.56 ORDER TOTAL" 277.56 TAX TOTAL`,3i 0.00 If there is a cash discount printed above, the discount is allowed only if paid in full by the indicated terms. Accounts not paid within terms are subject h to being placed on a cash basis, and to pay a finance charge of 1.5% per month (18% per annum) on any past due amount. No credits will be issued iNVOICEFTQTAL R 277.56 for damages or shortages unless noted on delivery receipt. Electronic Payment Info: Bank of America Beneficiary Oldcastle Architectural, Inc. A V �f7 r Account p 4426561080 ACH Routing 111000012 Wire Routing 026009593. TO O PA YS ,_QWYD G! .y 7.5U 000l:ltool Page 1 of 1 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)) 06/28/11 230095237 $277.56 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. ALLOWED 20 Oldcastle Architectural IN SUM OF P. O. Box 281479 Atlanta, GA 30384 -1479 $277.56 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 230095237 42- 350.00 $277.56 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 Thursday, July 14, 2011 r s r` Street rrtmiss1 -6r' r Title j 41 Street Cost distribution ledger classification if claim paid motor vehicle highway fund