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200094 08/03/2011
r CITY OF CARMEL, INDIANA VENDOR: 365506 Page 7 of 1 ONE CIVIC SQUARE ROTARY SYSTEMS INC CARMEL, INDIANA 46032 14440 AZURITE STREET NW CHECK AMOUNT: $334.79 RAMSEY MN 55303 CHECK NUMBER: 200094 CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 659 5023990 27330 334.79 OTHER EXPENSES R 11 TA R Y S Y S T E M S I N C V Inv y oi\iV 1444❑ Azurite Street NW Ramsey. MN 55 ❑DATE p >N,UiDTCE# jA [800] 959 -0146 FAX [76711 71273 -1622 7/22/201.1 27330 1`8 'cenvm t�., �p 1• `nnu �a =u Pg 3:' F g BILLT®��� F ti: SHIEI'FO v a`` k a �gnk e >.s .�i'5 i3�i 3a.;`;n. Carmel Waste Water Treatment Plant Carmel. Waste Water Treatment Plant A": Accounts Payable Attn: Shipping 760 Third Avenue S. W., Suite 110 9609 Hazel Dell Parkway Carmel, IN 46032 Indianapolis, IN 46280 N WP O. N,IJMBER, ii .TERMS; t g g SHIP .!M R� W 3 bSS�Tt 1 1 1 2 R 9�m F M S1 1% 10 Net30 7/2 UPS RED a /2011 er ,a!�"n�wA.�k[;s5,jLmf Sl3fi M -a,a �k' A a;A��fE:&� 3'U,..3+�,� hI U. JU?AWp %y- �1TEM 3 n D ©N a E PRICE EACH 1 MOVNT"' nSm.. k.. 'i'.ni� ..4e,• S.,..ix E z'i"•:.a "'"�Nz�.'} 1 RU 003 13210 -MT Rotary Union 276.79 276.79 1 SK 003- 13210 -LK Rotary Union Seal. Kit 58.00 58.00 1 Freight UPS /RED Collect 0.00 0.00 Thank you for your business! Total $334.79 VOUCHER 115601 WARRANT ALLOWED 365506 IN SUM OF ROTARY SYSTEMS INC 14440 AZURITE STREET NW RAMSEY, MN 55303 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 27330 07- 1050 -75 $334.79 Al10IfC f �Oto Voucher Total $334.79 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 365506 ROTARY SYSTEMS INC Purchase Order No. 14440 AZURITE STREET NW Terms RAMSEY, MN 55303 Due Date 7/29/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/29/2011 27330 $334.79 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 fficer