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156849 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 360838 Page 1 of Z a ONE CIVIC SQUARE TRAFFIX DEVICES, INC CARMEL, INDIANA 46032 220 CALLE PINTORESCO CHECK AMOUNT: $1,$23.00 SAN CLEMENTE CA 92672 CHECK NUMBER: 156849 CHECK DATE: 212112008 DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239030 17563 2036024 1,823.00 BACKFLOW 'TESTING EQUI TrjfFix Devices Inc. l20 Calle Pintoresco TrafFlx San Clemente, CA 92672 Devices Inc, info @traffixdevices.com Ph. 949 -361 -5663 Fax# 949 -369 -9205 Invoice 2036024 BILL TO 485600 Fax# 317 733 -2005 SHIP TO City of Carmel City of Carmel 3400 W. 131st. Street 3400 W. 131st Street Westfield, IN 46074 Westfield, IN 46074 Attn: Steve Jones 317- 339 -0793 Invoice Date Ship Via F.O.B. Carrier Terms 02/08/2008 Freight PPD /ADD ADD Ship Point FedEx Freight Net 30 Days Purchase Order Number Ship Date Sales 1) Dave Lindquist Our Order Number Persons 2) VERBAL STEVE 02/07/2008 3) 33636 Ordered Item Number Shipped Backorder Unit Price Amount Description Bol Tracer: 0000352871037803373 17 26000 -USH 17 99.00 1683.00 Zephyr Sign Stand with Universal Sign Holder SUB -TOTAL 1,683.00 SALES -TAX .00 FREIGHT 140.00 INV103 INVOICE TOTAL 1,823,00 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev- 1995) 17_ 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)) Total I 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. r a' ALLOWED 20 r �C '1 IN SUM OF OA ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or I c3b, r� 03 lea 0. 1 613 00 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 20 Cost distribution ledger classification if Title claim paid motor vehicle highway fund