HomeMy WebLinkAbout179572 11/24/2009 a CITY OF CARMEL, INDIANA VENDOR: 363583 Page 1 of 1
ONE CIVIC SQUARE AUBURN PLASTICS RUBBER INC
i CHECK AMOUNT: $123.84
CARMEL, INDIANA 46032 PO BOX 19871
ti oN a INDIANAPOLS IN 46219 CHECK NUMBER: 179572
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
651 5023990 156345 123.84 MATERIALS SUPPLIES
1
AUBUF ELASTICS RUBBER, INC. NVOME
P.O. B1X 198' INDIANAPOLIS; INDIANA 46219 -0871
PHONE 17) 352 -1565 FAX (317) 351 -2752
INVOICE NUMBER: 156345
INVOICE DATE: 11 /O9 /O9
PAGE:
CARMEL UTILITIES CARMEL UTILITIES
SOLD WASTEWATER. SHIP WASTEWATER
TO: 760 THIRD AVE SW SUITE110 TO: 760 AVE SW SUITE110
CARMEL IN. CARMEL IN.
46032 46032
CUST. I.D17 0 6
•SHIP VIA:W /C P.O. NUMBERVERBAL JOE
SHIPDATE:11 /09/09 P.O.DATE11 /05/09
DUE DATE:12 0 9 0 9 OUR ORDER NO:
TERMS:1%10 NET 30 SALESPERSONO
ITEM I.D. /DES C. ORDERED SHIPPED UNIT PRICE NET TX
PLEXIGLAS CLEAR. 1.00 1.00 SHT 123.8400 123.84 E
1/4 X 48 X 96
NO RETURN ACCEPTED WITHOUT WRITTEN AUTHORIZATION 123.84
SUBTOTAL
DISCOUNT NOT ALLOWED ON FREIGHT AND /OR TAXES
WE HEREBY CERTIFY THAT THE GOODS COVERED BY THIS INVOICE WERE PRODUCED TAX 0.00
IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF THE FAIR LABOR STAN- PAYMENT 0.00
DARDS ACT, AS AMENDED, INCLUDING SECTIONS 6,7 AND 12 THEREOF, AND OF REG- TOTAL 123.84
ULATIONS AND ORDER OF THE U.S. DEPARTMENT OF LABOR, ISSUED UNDER SECTION
14, THEREOF.
Prescribed by State Board of Accounts City Form No. 201 (Rev `)995)
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
363583
J
AUBURN PLASTICS RUBBER INC Purchase Order No.
PO BOX 19871 Terms
INDIANAPOLIS, IN 46219 -0871 Due Date 11/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/20M 156345 $123.84
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
C=t- �P wu-
Date Officer
f
4f
VOUCHER 096728, WARRANT ALLOWED
363583 IN SUM OF
AUBURN PLASTICS RUBBER INC
PO BOX 19871
INDIANAPOLIS, IN 46219 -0871
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
156345 01- 7202 -06 $123.84
a�
Voucher Total $123.84
Cost distribution ledger classification if
claim paid under vehicle highway fund