HomeMy WebLinkAbout202311 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 00351427 Page 1 of 1
ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS
CHECK AMOUNT: $493.65
CARMEL, INDIANA 46032 PO BOX 74189
CLEVELAND OH 44194 CHECK NUMBER: 202311
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 95289919 493.65 OTHER EXPENSES
I nvoic e PAGE: 1
World Headquarters
Q <iciiinieiitQate Daae:
3100 Hamilton Avenue 95289919 09/15/2011 09/30/2011
S1... 1911 Cleveland, Ohio 44114
If you would like to receive your invoice via fax, please
800- 782 -2436
State Chemical is a Division of State Industrial Products contact our Customer Service Department.
Your Fax number on file is: 317 -571 -2265
Our Customer Service Phone number is: "1- 800 -782 -2436
SHIP 1
15252076.29203'Us _C'96 3 5915 72- 0 3G5 "6-9 ill IIIIIIIIIIIIiII lIliIII III Ship -To No.: 518113
Customer No.: 490452
CARMEL SEWER DEPARTMEN CARMEL SEWER DEPT
ATTN: ACCOUNTS PAYABLE I PA
760 3RD AVENUE SW STE #110 901 N RANGELINE RD 1309001
150 1400S
CARMEL IN 46032 CARMEL, IN 46032 aMISAI GIobur
Customer P.O.: paul Sales Order: 4205583 Delivery: 800983513
Your Account Manager: 90148622 MICHAEL WELSH Taxable: N
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0 2 2 8C 103665 2417 D -STROY [3511319 227.000 454.00
1. IMPORTANT: Please return remittance portion
of invoice with your payment. To assure proper
credit to your account, ALWAYS include yourNet .Sales Slipping &Processi:ri Sales Tax;,:: :.TpTA6:„
customer number, invoice number, and amount
paid with your remittance. 454.00 39.65 0.00 493.65
2. All shipments FOB nearest warehouse.
3. Claims for shortage or damaged goods must be We hereby certify that these goads were produced in compliance with
made within 5 days after receipt of goods, all applicable requirements. of Section 6, 7 and 12 of the Fair Labor
4. No returns without written authorization. Standards Act as amended, and of regulations and orders of the United
5. If you have any questions regarding this States Department of Labor issued under Section 14 thereof.
invoice please contact us at 1- 800- 782 -2436.
PAY NO MONEY TO AGENTS FOR CHEMICAL EMERGENCY SPILL,
LEAK, FIRE, EXPOSURE OR ACCIDENT
FED. TAX I.D. NO.
Ail tax exempt customers CALL CHEMTREC DAY OR NIGHT
34- 0552740 must submit tax exempt (800) 424 -9300
certificate with payment.
VOUCHER 115892 WARRANT ALLOWED
351427 IN SUM OF
STATE INDUSTRIAL PRODUCTS /US E
P.O. BOX 74189
CLEVELAND, OH 44194
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
95289919 01- 7200 -02 $493.65
Voucher Total $493.65
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
351427
STATE INDUSTRIAL PRODUCTS /US ENGINEE Purchase Order No.
P.O. BOX 74189 Terms
CLEVELAND, OH 44194 Due Date 9/20/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/20/2011 95289919 $493.65
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
Date Officer