HomeMy WebLinkAbout199962 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 364212 Page 1 of 1
ONE CIVIC SQUARE HOOSIER SEALING CO
li d' CHECK AMOUNT: $173.72
CARMEL, INDIANA 46032 5622 RAHKE DRIVE
INDIANAPOLIS IN 46217 CHECK NUMBER: 199962
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 15966 173.72 6200.05
07/26/2011 09:14 3177892151 JIM J LONG JR PAGE 01/01
Hoosier Sealing 317 -445 -4409 Tel Invoice
voice
Supply Co. 317- 789 -2151 fax
Date Invoice
5822 Rahke Road
Indp1s, IN 46217 6/22/2011 15966
Bill TO Ship To
Carmel Water Dept Caanel Water Dept.
130 l st. Ave, SW 54$4 E. 126th. Street
Carmel, lu 46032 Cwmel, In 46033
Your P.O. Terms Rep Ship Date Ship Vla FOB IPS PO
Verbal Dan Net 30 Days JGong 6122/2011 M>s Indpls, IN 162342
Qty Ordered Qty Shipped Item Description Unit Price Amount
j 5.05 Packing 5EPCO NE402 7/16" 32.69 165.0$
sbippiuig 8.64 8.64
LI
Tofa 1 $173.72
VOUCHER 111843 WARRANT ALLOWED
364212 IN SUM OF
HOOSIER SEALING SUPPLY CO
5822 RAHKE RD
INDIANAPOLIS, IN 46217 WAS
o now
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
15966 01- 6200 -04 $17172
Voucher Total $173.72
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
364212
HOOSIER SEALING SUPPLY CO Purchase Order No.
5822 RAHKE RD Terms
INDIANAPOLIS, IN 46217 Due Date 7/26/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/26/2011 15966 $173.72
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and l have audited same in accordance with IC 5- 11- 10 -1.6
Z Z1,1
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Date Officer