HomeMy WebLinkAbout158650 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 292700 Page 1 of 1
s ONE CIVIC SQUARE STATE CHEMICAL MFG CO
CARMEL, INDIANA 46032 PO BOX 74189 CHECK AMOUNT: $201.21
CLEVELAND OH 44194 -0268 CHECK NUMBER: 158650
CHECK DATE: 411512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1205 4238900 93741484 201.21 OTHER MAINT SUPPLIES
a World Headquarters PAGE: 1
��1 YLL�r 3100 Hamilton Avenue
s =a -tail Cleveland, Ohio 44114
800- 782 -2436
State Chemical is a Division of State Industrial Products
03/31/2008
C.0 t ma'i P: Ci:. No: Order f v D er Nti E?ocElrr<erit T' e [rrvo ce fVe.
JEFF BARNES 3095438 83648187 Invoice QM) 93741484
GuSfarner
No: SafescotleaxahEe All tax exempt customers afcsrc Due;Date
must submit tax exempt
21236 90140005 N certificate with payment. 04/15/2008
Your Sales Associate CAROLYN ROWE IS IS 5014001
1 5014001
Certified
BILL TO: SHIP TO:
CITY OF CARMEL CITY OF CARMEL
CITY HALL CITY HALL
1 CIVIC SQUARE 1 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Op C1rcE Sht Utah �xtofl!
U(1.. ...Item. DescripttQn Pcaae F?
ce
0 -1- 1- CS 41855 er.vise_uEE s 185.000 185.00
THAISK OU FOR YOUR ORDER.
TO PEORDER CALL CAR LYN AT 1--800 -323 -4124 E T 1101.
1. IMPORTANT: Please return remittance portion
of invoice with your payment. To assure
proper credit to your account, ALWAYS Nei Sales Sh( wing rocess i ng Sales- TOTAL..
include your customer number, invoice number, 185.00 16.21 0.00 201.21
and amount paid with your remittance.
2. All shipments FOB nearest warehouse.
3. Claims for shortage or damaged goods must
be made within 5 days after receipt of goods. We hereby certify that these goods were produced in compliance with
4. No returns without written authorization. all applicable requirements of Section 6, 7 and 12 of the Fair Labor
5. It you have any questions regarding this Standards Act as amended, and of regulations and orders of the United
invoice please contact us at 1- 800 782 -2436. States Department of Labor issued under Section 14 thereof.
FED. TAX I.D. NO. I FOR CHEMICAL EMERGENCY SPILL,
34- 0552740 PAY NO MONEY TO AGENTS LEAK, FIRE, EXPOSURE OR ACCIDENT
CALL CHEl DAY OR NIGHT
(800) 424 -9300
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
t. 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
The State Chemical Mfg. Co. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/31/08 9374148014 111VISIlube
Total
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
VOUCHER NO. WARRANT NO.
04/14,1.0$ ALLOWED 20
The State Chemical Mfg. Co. IN SUM of
P.O. Box 74189
Cleveland, OH 44194 -0268
$201.21
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
21
which charge is made were ordered and
received except
20
so
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund