HomeMy WebLinkAbout201017 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 00351427 Page 1 of 1
0 ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS
CARMEL, INDIANA 46032 PO BOX 74189 CHECK AMOUNT: $226.00
CLEVELAND OH 44194
CHECK NUMBER: 201017
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 95236370 226.00 OTHER MAINT SUPPLIES
Invoice PAGE: 1
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World Headquarters
�tata 3100 Hamilton Avenue 95236370 08110/2011 08/25/2011
since 1991 Cleveland, Ohio 44114 If you would like to receive your invoice via fax, please
800- 782 -2436 contact our Customer Service Department.
State Chemical is a Division of State Industrial Products Your Fax number on file is: 317 571 -2405
Our Customer Service Phone number is: 1 -800- 782 -2436
14422536 `29203 *uses- C•94 3 4 9 8041.0365 *6x9 1/1 IIIIIII IIIII II III III II III SHIP TO:
Customer No.: 21236 CITY OF CARMEL
CITY OF CARMEL CITY HALL
CITY HALL g� Q W 1 CIVIC SQUARE I PA
1 CIVIC SQUARE CARMEL, IN 46032 X$09009
CARMEL IN 46032 �V r [30 -S
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Customer P.O.: JEFF BARNES Sales Order: 4172668 Delivery: 800948639
Your Account Manager: 90140005 CAROLYN ROWE (IS) Taxable:
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.00
0 1 1 104302 D UMP-STAR EAl2 208.000 2
T HANK YOU FOR YOUR CRDER.
O R:- CALL CAR LYN AT 1- 800 -323 -4124 EZT 1101.
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By
1. IMPORTANT: Please return remittance portion
of invoice with your payment. To assure proper
credit to your account, ALWAYS include your <Net Sales Ship in &Processin Sales Tax;:? :;.TOTAL'
customer number, invoice number, and amount
paid with your remittance. 208.00 18.00 0.00 226.00
2. All shipments FOB nearest warehouse.
3. Claims for shortage or damaged goods must be We hereby certify that these goods were produced in compliance with
made within 5 days after receipt of goods. all applicable requirements of Section 6, 7 and 12 of the Fair Labor
4. No returns without written authorization. Standards Act as amended, and of regulations and orders of the United
5. If you have any questions regarding this States Department of Labor issued under Section 14 thereof.
invoice please contact us at 1 -800- 782 -2436.
PAY NO MONEY TO AGENTS FOR CHEMICAL EMERGENCY SPILL,
LEAK, FIRE, EXPOSURE OR ACCIDENT
FED. TAX LID, NO. All tax exempt customers CALL CHEMTREC DAY OR NIGHT
34- 0552740 must submit tax exempt (800) 424 -9300
certificate with payment.
VOUCHER NO. WARRANT NO.
ALLOWED 20
State Industrial Products
IN SUM OF
P.O. Box 74189
Cleveland, OH 44194 -0268
$226.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 95236370 42- 3$9.00 $226.00 I 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
Monday, August 29, 2011
r
Director, A ministrati "n
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))
08/10/11 95236370 $226.00
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