HomeMy WebLinkAbout200924 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
ONE CIVIC SQUARE KIMBALL MIDWEST
CARMEL, INDIANA 46032 DEPT L -2780 CHECK AMOUNT: $158.42
COLUMBUS OH 43260 -2780 CHECK NUMBER: 200924
CHECK DATE: 8130/2011
DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2072783 158.42 MATERIALS SUPPLIES
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From IAXmodern5 Wed 17 Aug 2011 04:19:42 PM EDT Page 2 of 2
IMBALL INVOICE INVOICE NO. I TERMS: 1% 10 IDA
NET I
PLEASE PAY FROM THIS INVOICE 2072783
IET• ORIGINAL ORDER NO.
SpccWi gene. in Matekiat Management since 1913 0 3 7 313 2 E
REMIT TO: KIMBALL MIDWEST ACCOUNT NO.
I)ORIGI DEPT. L -2760 COLUMBUS, OHIO 43260 -2780 (614 219 -6100) 139903
www.kimballmidwest.com
SOLD TO: SHIP TO:
CITY OF CARMEL SEWER DEPT SEWER DEPARTMENT
760 3RD AVE SW 760 3RD AVE SW
ATTN LISA
CARMEL IN 46032 CARMEL IN 46032
PAUL
DATE ISALES REPRESENTATIVE1 PURCHASE ORDER NO. SHIPPED VIA& DATE
08/15/11 COHEN, ROBER kUL U UPS GROUND 08/15/11
ORDERED SHIPPED BALAN DESCRIPTION UNIT PRICE AMOUNT
DUE
1 1 82527 DRILL BIT 20.05
1 l 82525 DRILL BIT 17.30
6 6 833005 PADLOCK 71.94
UPS TRACKING #:1247817303357024 4 WGT:7
include invoice number on your remittance advice
us n 9 X11
ease m 9 G- 7 4
I -V
o recei e invo' es via email send a request inc udinq- you
c. cent u O))i r s.ri a ce..k ;ti l lrTtldw,est c�rx�..:
You acknowledge and�agree that. by placing this order, ail information provided to you by KlmbaIt Midwest herein is confidential and is the property of Midwest
Motor Supply Co., Inc. dlb /a Kimball Midwest. You further agree that this information is for your internal use only and will not be copied, reproduced, distributed
or disclosed by you andfor your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST RE FILED BY
CUSTOMER.
GOODS RETURNED 1MTHOUT OUR CONSENT
WILL POSITIVELY NOT BE ACCEPTED. 158.42 15 8. 4 2
DEBTOR IS LIABLE FOR USUALANDCUSTOM-
ARY COLLECTION CHARGES
ALL CHECKS MUST BE MADE PAYABLE ONLY
TO "KNIALLMIDWEST' We Appreciate Your Business PLEASE REMIT THIS AMOUNT
VOUCHER 115750 WARRANT ALLOWED
351074 IN SUM OF
Kimball Midwest
DEPT L -2780
COLUMBUS, OH 43260 -2780
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2072783 01- 7200 -02 $158.42
Voucher Total $158.42
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
351074
Kimball Midwest Purchase Order No.
DEPT L -2780 Terms
COLUMBUS, OH 43260 -2780 Due Date 8/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8123/2011 2072783 $158.42
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 Officer