HomeMy WebLinkAbout200876 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1
Q�
ONE CIVIC SQUARE HALSEN PRODUCTS CHECK AMOUNT: $196.59
CARMEL, INDIANA 46032 PO BOX 877
BELMONTMS 38827 CHECK NUMBER: 200876
CHECK DATE: 8/3012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 0112291 -IN 196.59 UNIFORMS
HA LSEN PRODUCTS CONY PAGE:
P.O. BOX 877
BEL.MONT, MS :38827
NATIONVCDE 1-800.344.6896
INVOICE NUMBER:
FAX 1 800 826 8839 0112291
INVOICE DATE: 8/22/2011
ORDER NUMBER:
ORDER DATE:
SALESPERSON: 0523
CUSTOMER NO: 0230327
,OLD TO SHIP TO
CITY OF CARMEL STREET DEPARTMENT
ACCOUNTS PAYABLE DEPT BONNIE CALLAHAN
3400 W 131ST ST 3400 WEST 131 STREET
Westfield, IN 46074 Westfield, IN 46074
CONFIRM TO:
BONNIE
CUSTOMER -P O SHkP �7r1� FO:B. TERMS
BONNIE UPS Net 30
ITEM NO. UNIT ORDERED SHIPPED BACK ORDER PRICE AMOUNT
BJM92K FACII 28E 288 0 0.620 178.56
BROWN JERSEY GL VE
Net Invoice- 1- 7- 8 -5.6
Less Discount 0.00
THANK YOU FOR YOUR ORDER Freight 18.03
Sales Tax 0100
Invoice Total 196.59
Less Deposit 0.00
INVOICE BALANCE
VOUCHER NO. WAR NO.
Halsen Products ALLOWED 20
IN SUM OF
P. O. Box 877
Belmont, MS 38827
$196.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 0112291 -IN 43- 560.01 $196.59 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
Fri
1 1 7A ea
g t 26. 2011
VVV
m
StreE8tt o Gf i.is§loner
Title
i
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))
08/22/11 0112291 -I N $196.59
1 hereby certify that the attached invoice(s), or bill($), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer