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
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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