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HomeMy WebLinkAbout158028 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00352515 Page 1 of 1 0 ONE CIVIC SQUARE MADISON FILTER CARMEL, INDIANA 46032 PO Box 236 CHECK AMOUNT: $1,035.00 SKANEATELES FALLS NY 13153 -0238 CHECK NUMBER: 158028 CHECK DATE: 4/1/2008 DEPARTMENT ACCO PO NU INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 511071 181652 1,035.00 BELT DEWATERING V 0 4563 Jordan Road W P.O. Box 238 SALES INVOICE ✓i g 4•h. Skaneateles Falls, New York 13153' a USA W Tel: 1 315 685 3466 INVOICENO f INVOICE DATE l Tel: 1 800 637 6206 Fax: 1 315 685 5574 W F Email: info @madisonfilter us.com W e Website: www.madisonfilter.com SOLD BILL TO: SHIP TO: CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 REMARKS: CUSTOMERPO�NO t ORD DAT CUST011IER NO ORDER SALES PERSON S11071 02/22/08 3087 134070 SCOTT MISHLER MR r SHIl'YI A 5 N FOB TERMS OFFSALE""" OUST TYPE Wii w H r NEWPENN PREPAID SHIPPING POINT NET 30 DAYS 5 1 a N A ORDERED„ SHIPPED BACK ORD q ITEM NTJ1V[BER� I)ESCk TIO UNIT PRICE AMOUNT W /POLYURETHANE SEAM PROTECTANT EA WEIGHT 111 Q# 23321 PROD 326 1340701 BELT NO. 91483 TRACKING NUMBERS 71967003 -6 SUBTOTAL $1035.00 4 REM[T PAYMENT ONLY TO was MISC. CHARGES $0.00 MADISON FILTER, INC. TAX $0.00 P.O. BOX 32196 FREIGHT $0.00 HARTFORD, CT 06150 -2196 INVOICE TOTAL $1035.00 z �����ORIGIN �,KII3VOIC8 VOUCHER 085110 WARRANT ALLOWED 352515 IN SUM OF MAQ,ISON FILTER P.Q. Box.- aayl,yb C-T Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 181652 01- 7202 -05 $1,035.00 Voucher Total $1,035.00 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 352515 MADISON FILTER Purchase Order No. 4563 Jordan Road Terms P.O. Box 238 Due Date 3/18/2008 Skaneateles Falls, NY 13153 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/18/2008 181652 $1,035.00 that the attached invoice(s), true t I hereby certify t ce(s), or bills) is (are) and a orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 �y Date Officer