HomeMy WebLinkAbout203089 10/25/2011 a- CITY OF CARMEL, INDIANA VENDOR: 365719 Page 1 of 1
ONE CIVIC SQUARE MOUSER ELECTRONICS
tl' CHECK AMOUNT: $32.78
CARMEL, INDIANA 46032 PO BOX 99319
FORT WORTH TX 761990319 CHECK NUMBER: 203089
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 26435997 32.78 OTHER EXPENSES
i Please remit ►o:
s Mouser Electronics, Inc. Original Invoice
P.O. Box 99319
a tti company Fort Worth TX 76199 -0319 a
1000 North Main Street, Mansfield, TX 76063 264 35997 13 SEP 11 1 of 1
Sales Rep: Shoki Hubby
Sales: 800- 346 -6873
Credit: (800) 333 -9924 'Reference Number 1165344
Federal ID# 61- 1520598 INCOTERMS: FCA Shipping Point. 512744 1Z7759450337092269
LARRY SCHIMME UPS GROUND SERVICE 1165344 NET 30 13- SEP -11
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c CARMEL WASTE WATER a 9609 HAZEL DELL PARKWAY
9609 HAZEL DELL PARKWAY NORA, IN 46280
NORA, IN 46280 UNITED STATES
UNITED STATES
1 617 09120083101 2 0 2 21.990 0.00
HARTING Heavy Duty Power Connector
FEMALE INSERT
US HTS: 8536694030 ECCN:EAR99
2 `617- 0,9120083001 2:.' fl: �2 22
HARTING Heavy Duty lower, Connector
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.:MALE INSERT`
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US HTS 8536699030 ECCN EAR99
3 617-19-12-708-0501 1 0 26.510 26 -51
HARTING Telecom Ethernet Connect
RJ'45 METAL HOOD
US HIS: 8538906000 ECCN:EAR99 COO:DE
4 617 19120005057 2 0:,2 8;210 0 00-;.
HARTING Heavy Duty Power Connector
HOOD CBL
ENTRY'
US HTS:' 853.8908080 ECCN EAR
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127759450337092269 1 lb
This order is subject to all terms and conditions displayed at http: /www.mouser.com /saleterms
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VOUCHER 116079 WARRANT ALLOWED
365719 IN SUM OF
MOUSER ELECTRONICS
PO Box 99319
Fort Worth, TX 76199
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
26435997 01- 7202 -05 $32.78
Voucher Total $32.78
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
365719
MOUSER ELECTRONICS Purchase Order No.
PO Box 99319 Terms
Fort Worth, TX 76199 Due Date 10/19/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/201' 26435997 $32.78
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
Date Officer