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HomeMy WebLinkAbout202137 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1 ONE CIVIC SQUARE HALSEN PRODUCTS CARMEL, INDIANA 46032 CHECK AMOUNT: $225.16 PO BOX 877 BELMONT MS 38827 CHECK NUMBER: 202137 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 0112580 -IN 225.16 SAFETY SUPPLIES ll V 1�f 0 L1 C E PAGE.- 1 HALSEN PRObUCTS COMPANY P.O. BOX 877' BELMONT, MS 38827 NATIONWIDE 1- 800 344 -668ti FAx 1 •a�an -az6 -sass INVOICE NUMBER: 011.2580-TN INVOICE DATE: 9/15/2011 ORDER NUMBER: ORDER DATE: SALESPERSON: 0523 CUSTOMER NO: 0230327 SOLD TO SHIP TO CITY OF CARMEL STREET DEPARTMENT ACCOUNTS PAYABLE DEPT BONNIE CALLAHAN 3400 W 131ST ST 3400 WEST 131 STREET Westfield, IN 46074 Westfield, IN 46074 CONFIRM TO: BONNIE CUSTOMER P.O. SHIP VIA, F.O.B TERMS BONNIE UPS Net 30 ITEM NO. UNIT ORDERED SHIPPED BACK ORDER PRICE AMOUNT EACH 24 24 0 5 5 0 0 1:3 0 V2 METAL GUN METAL CLEAR EACH 12 12 0 6.700 80.40 V2 METAL GUN ME"AL/BLUE MIRROR Net Invoice: 212 .40 Less Discount: 0.00 THANK YOU FOR YOUR ORDER Freight: 12.76 Sales.Tax: 0.00 Invoice Total: 225.16 Less Deposit. 0.00 225.16 INVOICE BALANCE VOUCHER NO. WARRANT NO. ALLOWED 20 Halsen Products IN SUM OF P. O. Box 877 Belmont, MS 38827 $225.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 0112580 -IN 42- 390.12 $225.16 1 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 Thursday; Septe.rnber 22, 2011 Street Commissioner 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)) 09/15/11 0112580 -I N $225.16 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