161370 07/11/2008 "F CITY OF CARMEL, INDIANA VENDOR: 358126 Page 1 of 1
ONE CIVIC SQUARE GOLDSTAR PRODUCTS INC
0 CHECK AMOUNT: $3,060.33
CARMEL, INDIANA 46032 PO BOX 291630
DAVIE FL 33329 CHECK NUMBER: 161370
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUM INVOI NUM AMOUNT DESCRIPTION
651 5023990 18098 -00344 3,060.33 OTHER EXPENSES
4,
SOLD TO: c�
CARMEL CITY SEWER WATER
PAUL ARNONE
760 3RD AVENUE SW
CARMEL, IN 46032 INVOICE 0018098 0034412
I
i
�f r Pr �p ORDER DATE: 6/9/2008
SHIP TO: y lds Inc a
P.O. BOX 291634 DAVIE, FL 33329 CUSTOMER NO 0018098
C CITY PAUL ARNONE SEWER &WATER
PA 8 0 0 2 3 9 5 6 9 9
SALES REP ID: RO1
901 NORTH RANGELINE Tax ID 65- 0597470
CARMEL, IN 46032
CUSTOMER P.O. SHIP VIA TERMS DUE DATE
PAUL ARNONE MOST ECONOMICAL NET 30 DAYS 07/09/2008
SHIPPED ITEM NUMBER DESCRIPTION PRICE AMOUNT
5 618 -55 LB SUPER HIGH HEAT -55 LBS 549.45 2,747.25
SHIPPING HANDLING 313.08
For your convenience, we accept the American
Express® Card and other major credit cards.
Please fill in the information bellow.
Mo. Yr.
Account Number Expiration Date
X
Cardmember Signature Amount Date
RETURNS SUBJECT TO 30% RESTOCKING CHARGE PLUS FREIGHT. Net Order: 3 ,060.33
Make Check Payable to GoldStar Products. No returns without written permission. No retums accepted after 30 Sales Tax: 0.00
days. No Exceptions. The parties agree that any legal proceeding brought by either party in connection with or
arising out of this invoice shall be brought in Broward County, Florida and the prevailing party shall be entitled to Total Invoice• 3,060.33
reasonable attome/s fees and all costs incurred including any appeal. Thank you For Your Order Prompt
payment assures good standing future credit.
Payment Received: 0.00
We hereby certify that these goods were produced in compliance with all applicable requirements of Section 6, 7,
and 12 of the Fair Labor Standards Act as amended, and regulations and orders of the U.S. Dept. of Labor issued Balance: 3,060.33
under Section 14 thereof.
INTEREST WILL BE ADDED AT LAWFUL RATES TO PAST DUE ACCOUNTS. Payable in US Funds Only
visit us at http: /www.goldstarDroducts.net
VOUCHER 085772 WARRANT ALLOWED
358126 IN SUM OF
GOLDSTAR PRODUCTS INC
00 BOX 291630
,,,,DAVIE, FL 33329
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
18098 00344' 01- 7200 -02 $3,060.33
Voucher Total $3,060.33
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
358126
GOLDSTAR PRODUCTS INC Purchase Order No.
PO BOX 291630 Terms
DAVI E, FL 33329 Due Date 6/26/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2008 18098 -00344 $3,060.33
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 4
Date Officer