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177544 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350548 Page 1 of 1 ONE CIVIC SQUARE A U M A ACTUATORS, INC CHECK AMOUNT: $904.39 CARMEL, INDIANA 46032 4 ZIESTA DR PITTSBURGH PA 152C5 CHECK NUMBER: 177544 CHECK DATE: 912912009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 6194106 904.39 OTHER EXPENSES i 0p JINVOICO AUMA Actuators Inc. Remit payment to: Invoice No: 6194106 100 Southpointe Blvd. AUMA Actuators, Inc Page I Canonsburg, PA 15317 PO Box 643373 Date: 09116109 Phone (724) 743 -2852 Pittsburgh, PA 15264 -3373 Salesperson: Robinson s Associa Fax: (724) 743 -4711 REGULAR INVOICE Currency US$ Thank you for the opportunity to be your electric actuator provider. s e (350) Carmel Wastewater Utility Larry Schimmel 760 Third Avenue S. W. Carmel WWTP Suite 1.10 9609 Hazel Dell Parkway Carmel IN 46032 Indianaapolis. IN 46280 FAX: 317 571 -2462 PA01148 511843 1 21.00 UPS GROUND NET 30 DAYS e s w e 2 1.000 1.000 0.000 180.00000 180.00 Item: PA Service Labor Description: PA Service Orders Labor shop U /M: EA Date Shipped: 09116109 3 1.000 1.000 0.000 710.00000 710.00 Item: PA Service Parts Description: PA Parts Used on Service /Warranty Jobs U /M: EA Date Shipped: 09116109 Sales Amount 890.00 Misc. Chg. 0.00 Pittsburgh, PA Shipping Handling 14.39 Order subject to AUMA standard terms and conditions Sales Tax 0.00 (TC 5194. Taxpayer ID 25- 1311246) Total 904.39 Past due invoices will be subject to a service charge of 1.0% per month. AUMA's liability for losses or damages from all causes in the use of our product shall in no event exceed the price charged for our product except by written contract. 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 350548 A U M A ACTUATORS, INC Purchase Order No. P.O. BOX 643373 Terms PITTSBURGH, PA 15264 -3373 Due Date 9/22/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/22/2009 6194106 $904.39 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VO'JCHER 096461 WARRANT ALLOWED 35054$ IN SUM OF A U M A ACTUATORS, INC P.O. BOX 643373 PITTSBURGH, PA 15264 -3373 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members V ^sJ -ry0 INV ACCT AMOUNT Audit Trail Code 6194106 01- 7202 -06 $724.39 6194106 01- 7362 -06 $180.00 Voucher Total $904.39 Cost distribution ledger classification if claim paid under vehicle highway fund