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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