HomeMy WebLinkAbout165399 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00353160 Page 1 of 1
ONE CIVIC SQUARE PRO SEAL SERVICE GROUP INC
CARMEL, INDIANA 46032 35 SILERDOME INDUST PARK WEST CHECK AMOUNT: $243.95
PONTIAC MI 48342 -2994
CHECK NUMBER: 165399
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 37172 243.95 MATERIALS SUPPLIES
a
Pro -Seal Service Group
35 Silverdome Indust. Park West Invoice
Pontiac, MI 48342 -2994
(248) 758 -0500
(248) 758 -0505 Fax Customer Number Date Invoice Number
CARMEL, CITY OF 10/10/2008 Fs 1-37172
Carmel, City Of Carmel, City Of
Waste Water Utilities Waste Water Utilities
760 3Rd Ave SW 9609 Hazel Dell Pkwy
Suite 110 Indianapolis, IN 46280
Carmel, IN 46032
Ship Via Terms Due Date Salesperson Customer PO Original Order Number
FedEx Ground I Net 30 11/9/2008 34 I V-JEFF 0E -35361
Item No Shipped Description
Unit Measure Weight Volume Additional Info
6105120050 1 0 1 Synfiltn GT 220 (5 gal pail) 228.25 0 228.25
Each 0 0
Total Item Count I, Total Items Shipped 1
Weight: 0 Ibs 0 kgs volume: 0 cu ft Subtotal:
228.25
Freight: 15.70
Tax: 0.00
Total: 243.95
Page: 1 Amount Due: 243.95
VOUCHER 086510 WARRANT ALLOWED
00353160 IN SUM OF
PRO SEAL SERVICE GROUP INC
35 Silverdome Industrial Park
Pontiac, MI 48342 -2994
Carmel Wastewater Utility
�ON ACCOUNT OF APPROPRIATION FOR
(a::
Board members
PO INV ACCT AMOUNT Audit Trail Code
37172 01- 7202 -06 $243.95
D
Voucher Total $243.95
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribetl 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
00353160
PRO SEAL SERVICE GROUP INC Purchase Order No.
35 Silverdome Industrial Park Terms
Pontiac, MI 48342 -2994 Due Date 10/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/20M 37172 $243.95
i
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
/23 i
Date Officer