HomeMy WebLinkAbout166619 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354381 Page 1 of 1
ONE CIVIC SQUARE CENTURY GASKET CORPORATION 1775 NORTH SHERMAN DRIVE STE A CHECK AMOUNT: $88.78
ti, CARMEL, INDIANA 46032
INDIANAPOLIS IN 46218 CHECK NUMBER: 166619
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CHECK DATE: 12/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 119691 88.78 MATERIALS SUPPLIES
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Century Gasket Corporation
1775 North Sherman Drive Invoice
Suite A
Indianapolis, IN 46218
Phone: (317) 375 -9100 Customer No.: CCWWU
Fax: (317) 375 -9104 Invoice No.: 119691
Bill To: City of Carmel Ship To: City of Carmel
Water- Wastewater Utilities Water- Wastewater Utilities
One Civic Square One Civic. Square
Carmel, IN 46032 Carmel, IN 46032
Date Ship V F.O.B. Terms
10/31/08 WILL CALL FFA 5.00 -10 Net 30
Purchase Order Number Order Date Sales Person Our Order Number
JEFF COOPER 10/29/08 519215
Quantity U/M Item Number Description Unit Price Amount
Req'd I Shipped B.O.
1 1 each SETA Garlock Packing Tool 46.30 46.30
Set A Complete
49027 -0001
12 12 each C1 C -1 Corkscrew Tip for 3.54 42.48
F -1 S -1 Flexible Hook
49027 -0004
Invoice subtotal 88.78
Invoice total 88.78
Thank You
VOUCHER 086766 WARRANT ALLOWED
354381 IN SUM OF
CENTURY GASKET CORP
1775 NORTH SHERMAN DRIVE STE A
INDIANAPOLIS, IN 46218
Carmel Wastewater Utility
r
ON ACCOUNT OF APPROPRIATION FOR
tia
Board members
PO INV ACCT AMOUNT Audit Trail Code
119691 01- 7202 -06 $88.78
e, Voucher Total $88.78
C60st 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
354381
CENTURY GASKET CORP Purchase Order No.
1775 NORTH SHERMAN DRIVE STE A Terms
INDIANAPOLIS, IN 46218 Due Date 1211!2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2008 119691 $88.78
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