HomeMy WebLinkAbout202523 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 365711 Page 1 of 1
ONE CIVIC SQUARE DICKSON CHECK AMOUNT: $85.00
CARMEL, INDIANA 46032 930 SOUTH WESTWOOD AVE
ADDISON IL 60101 -4917 CHECK NUMBER: 202523
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
601 5023990 836753 85.00 MATERIALS SUPPLIES
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i 930 South Westwood Avenue Accounts.. 630 -543 -3747 Sales: 630 543.3747
D� INVOICE M
Addison, Ilfinois.60I.0I -4917 RecFR mme. Press 3' FAX: 630 543 049
REPgp TO THIS NUMBER
I
14!335.1 WHEN RE0IVn9G
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SOLD TO /BUYER: SHIP TO:
CARMEL_ WATER DEPT CARMkL WATER DEPT
I ACCOUI`JTS PAYABLE GREG HOLLANDER.
I 3450 W 131ST ST 3350 W 131ST ST
1
I CARMEL. CARMEL
IN USA 460328727 iiV U5A 460328727
SUBJECT TO THE TERMS AND CONDITIONS ON THE REVERSE SIDE.
12889 3 NET 15 7/20/11
ORDERED. QTY CK NUNIBER/DESCRIPTIO
EXTENSI
2 2 EA C42.5 35.000 70.00
I CHRT 8" 0/150 24H #C425 ('1'40)
Sub Total 70.00
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Shipping and Hhndling Char Se 15.00
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j *'A* Total Tax .00
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#§u Total Due 65.00
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1 CONTACT: MIKE L OPER
TRACKING NUMBER: 084484660678441
ReturnE must be made within 30 days, and may be subject to E
25% re tocking F ee. Freight and calibration will not be cr dited
.WHEN REMITTING AYME T, PLEASE INCLUDE INVOICE NUMBER
1
j I
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IF YOU WOULD LIKE TO PAY VIA
CREDIT CARD, PLEAS
CALL
1 630 -56 -4203 OR FAX 630-5'4 3-5467 1, x nr U
TO ENSURE SECURE ACTION
TRANS
u a,
THANK YOU
i i We hereby certify Ihat these goods were produced in compliance wiltt III applicable requirements of
Section 6. 7 and 12 of the Fair Labor Standards Act—Isamended and of regulations and orders of the 1
F. ADD ISON, ILLINOIS
U d States Departmer1l of Libor issued under Section 14. thereof.
Me
F.E.I.N. N0.35- 3206003 Tw l ACCOUNTING CORY
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
00352452
DICKSON Purchase Order No.
930 SOUTH WESTWOOD AVE Terms
ADDISON, IL 60101 -4917 Due Date 10/5/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2011 836753 $85.00
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
V A I
Date Officer
VOUCHER 112616 WARRANT ALLOWED
00352452 IN SUM OF
DICKSON
930 SOUTH WESTWOOD AVE (�p� Dig
ADDISON, IL 60101 -4917
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
836753 01- 6200 -06 $85.00
Voucher Total $85.00
Cost distribution ledger classification if
claim paid under vehicle highway fund