HomeMy WebLinkAbout160792 06/25/2008 d CITY OF CARMEL, INDIANA VENDOR: 055000 Page 1 of 1
ONE CIVIC SQUARE CERTIFIED LABORATORIES CHECK AMOUNT: $164.95
CARMEL, INDIANA 46032 23261 NETWORK PLACE
•c,« io CHICAGO IL 60673 -1232 CHECK NUMBER: 160792
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMB INV OICE NUMBER A MOUNT DESCRIPTION
2201 4232100 396287 164.95 GARAGE MOTOR SUPPIE
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YOU CAN RELY N ORIGINAL.
INVOICE
REORDERS CALL: 1- 800 -527 -9929 CERTIFIED LABORATORIES
CORRESPONDENCE TO: 23261 NETWORK PLACE
P.O. BOX 2493 FAX 1- 972 -438 -0634 CHICAGO. IL 60673 -1232
ET. WORTH, TEXAS 761 13-2493 www.C,ERTIFIEDLABS.com
SOLD TO: SHI PPED TO:
Electronic Funds Transfer
(EFT)
CITY OF CARMEL
CITY OF CARMEL 3400 W 131 ST ST payments are encouraged
WESTFIELD IN
3400 W 131ST ST 46074 To enroll please call
WESTFIELD IN 46074
1- 800 -527- 9919 -x0831
Cust. Acct. No. Invoice No. I Invoice Date Terms ISales Rep I Order No. I Ship Date Customer P.O. No.
T0175272 396287 06 -06 -08 NET 10 DAYS 066T 0135: 06-0 JEFF STEWART
Product Packagin- Description Unit Price
Qty Bi lled Amount
5687 1 DOZ ELECTRA COAT AEROSOL 160.00 1 DOZ 160.00
Merchandise State Tax Local Tax "Shipping Inv. Total Amount
160.00 1 1 1 4.95 1 1 164.95
IN Tax 003512371-001-3 Federalld #75- 0457200
CERTIFIED LABORATORIES DIVISION OF NCR CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND
I MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. *`DISTRIBUTION SERVICES INCLUDE SHIPPING k HANDLING CHARGES F.O.B. DELVD.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Certified Labs
IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
$164.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 396287 42- 321.00 $164.95 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
J Thursday, June 19, 2008
Str Commissioner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/06/08 396287 $164.95
1 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
,20
Clerk- Treasurer