HomeMy WebLinkAbout162409 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 00350856 Page 1 of 1
ONE CIVIC SQUARE LEHIGH SAFETY SHOES
i CHECK AMOUNT: $89.99
CARMEL, INDIANA 46032 PO BOX 371958
ti; oM PITTSBURG PA 15250 -7958 CHECK NUMBER: 162409
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT PO NUMBER, I NVOI CE NUMBER AM OUNT DESCRIPTION
651 5023990 6699 89.99 MATERIALS SUPPLIES
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1W saety 39 East Canal Street Cust.No. Repots Invoice Date Invoice#
Alsonville, Ohio 45764 085893 00000 00309 316151
Sold To: Ship To:
CARMEL WATER& WASTEWTR CARNIEL WATER& WASTEWTR
TREATMENT PLANT TREATMENT PLANT
760 3RD AVE. SW 9609 HAZEL DELL PKWY
CARMEL IN 46032 INDIANAPOLIS, IN 46280
Customer's Order Number SM Mobile -Unit Order Date Terms
85 447660 LEHIGH #5378- INDIANAPOLIS 07/24/08 30 DAYS NET
Line Ticket Employee Id Employee Name Dept Other Amount Due
Style WD I Size I Qty Price I MDSE Amt Adjust Tax Sen• Chg Misc Total Sale Cash Recd Subsidv Emp 13.1 DFD
1 006699 Eric Robinson
XPX661 M 9.5 1 89.99 89.99 89.99 89.99
Total Qty Merchandise Value Adjustment Tax Sery Chg Misc Cash Rec Subsidy Amount Due
i 89.99 1 1 1 1 89.99 89.99
The Goods covered by this Invoice were produced in compliance with the Fair Labor Standards Act of 1938, as amended.
Original Invoice (LEHForm6M 7/28/2008 7:40:57 AM- rse0002)
To assure proper credit Pl ease detach t _portion_ and return with remittance.
REMITTANCE ADVICE
Invoice To: Customer 1508589300000
Invoice No. 316151
CARMEL WATERS WASTEWTR Invoice Date 07/25/08
TREATMENT PLANT PLEASE REMIT PAYMENT TO: Amount Due 89.99
760 3RD AVE. SW Lehigh Safety Shoes:
CARMEL IN 46032 P.O. BOX 371958 Amount Paid
PITTSBURGH, PA 15250 -7958
1508589300000 316151 072508 00008999 4
VOUCHER 085965 WARRANT ALLOWED
350856 IN SUM OF
LEHIGH SAFETY SHOES CO.
P.O. Box 371958
Pittsburgh, PA 15250
1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6699 01- 7202 -06 $89.99
Voucher Total $89.99
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
350856
LEHIGH SAFETY SHOES CO. Purchase Order No.
P.O. Box 371958 Terms
Pittsburgh, PA 15250 Due Date 7/28/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2008 6699 $89.99
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