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158412 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 358126 Page 1 of 1 0 ONE CIVIC SQUARE GOLDSTAR PRODUCTS INC CHECK AMOUNT: $3,059.27 CARMEL, INDIANA 46032 PO BOX 291630 DAVIE FL 33329 CHECK NUMBER: 158412 CHECK DATE: 4115/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D 651 5023990 180980003334 3,059.27 MATERIALS SUPPLIES i SOLD TO: D O RICARMEL CITY SEWER& WATER G®N V 1 PAUL ARNONE i w 760 3RD AVENUE SW m CARMEL, IN 46032 f f 1 J `J'�� INVOICE M1808- 0033349 CS J1 m ORDER DATE: 2!271200$ CD r 0. of sta Produc sx� To: M P.O. BOX 281634 DAVIE FL. 33324 CUSTOMER NO: 0018498 CARMEL CITY sSEWER WA TER 1 -800-2 3 9 -5 6 9 9 i3AI.lES REP ID: RO1 901 NORTH RANGELINE Tax ID 65- 0597470 CARMEL, IN 46032 CUSTOMER P.O. SHIP VIA TERMS DUE DATE ARNONE MO EC NET 30 DAYS 03/27/2008 SKIPPED ITEM NUMBER DESCRIPTION PRICE AMOUNT 5 618 -55 LB SUPER HIGH HEAT -55 LBS 549.45 2,747.25 SHIPPING HANDLING 312.02 X RETURNS SUBJECT TO 3096 RESTOCKING CHARGE PLUS FREIGHT. Net Order: 3,059.27 Make Check Payable to GoldStar Produc No retu ms without written permission. No returns accepted after 30 Sales Tax: 0,00 M days. No Exceptions. The parties agree that any legal proceeding brought by either party in connection with or r) arising out of this invoice shall be brought In Broward County, Flotda and the prevailing party shall be entitled to Total Invoice: 3.059.27 reasonable attorney's Fees and all costs incurred including any appeal. Thank you For Your Order Prompt m payment assures good standing future oredit. 00 Payment Received: 0.00 CS We hereby cer6fythatthese goods were produced In compliance with all applicable requirements of Section 6, 7, and 12 of ttre Fair labor Standards Act as amended, and regulations and orders of the U.S. Dept. of Labor issued Balance: 3,059.27 M under Section 44 thereof. i m INTEREST WILL BE ADDED AT LAWFUL RATES TO PAST DUE ACCOUNTS. Payable in US Funds Only visit us at http :llwww.noldstarsrroducts.net VOUCHER 085185 WARRANT ALLOWED 358126 IN SUM OF G6LDSTAR PRODUCTS INC PO BOX 291630 l QAVIE, FL 33329 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 18098003334 01- 7200 -02 $3,059.27 O� O� G i Voucher Total $3,059.27 C =ost distribution ledger classification if claim paid under vehicle highway fund f 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, j price per unit, etc. Payee 358126 GOLDSTAR PRODUCTS INC Purchase Order No. PO BOX 291630 Terms DAVIE, FL 33329 Due Date 4/1/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/1/2008 1809800333 $3,059.27 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 Date Officer