HomeMy WebLinkAbout203404 11/09/2011 -�u CITY OF CARMEL, INDIANA VENDOR: 364677 Page 1 of 1
ONE CIVIC SQUARE CLEAN EARTH SYSTEMS INC CHECK AMOUNT: $2,740.00
CARMEL, INDIANA 46032 15245 AMBERLY DRIVE
TAMPA FL 33647 CHECK NUMBER: 203404
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 32592 2,740.00 OTHER EXPENSES
Voice: (813) 930 -6688 Invoice
Fax: (813) 930 -2530 Invoice Number:
Clea 3 2592
0000s000000000000000000000000ao0co Invoice Date:
S Y S T E M S, 1 N C.
Oct 17, 2011
15245 AMBERLY DRIVE Page:
Tampa, FL 33647 -2155 1
USA
Sold To: Ship to:
City of Carmel HHW City of Carmel HHW
760 3rd Avenue 901 N. Rangeline Road
Attn: Bill Kelam Carmel, IN 46032
Carmel, IN 46032
Customer ID Customer PO Payment Terms
CI VERBAL 10/13 2% 15, Net 30 D ays
Sales Rep ID Ship Method Ship Date Due Date
MW CH ROBINSON 10/17/11 11/16/11
Quantity Item Description Unit Price Extension
100.00ID- 30GOHPOLY ID 30 GAL OH POLY PLAIN COVER 24.75 2,475.00
Subtotal 2,475.00
Sales Tax
Freight 265.00
Total Invoice Amount 2,740.00
CheWCredit Memo No: Payment /Credit Applied
TOTAL 2,740.00
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
364677
CLEAN EARTH SYSTEMS INC Purchase Order No.
15245 AMBERLY DRIVE Terms
TAMPA, FL 33647 Due Date 11/1/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2011 32592 $2,740.00
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
Date Officer
VOUCHER 116147 WARRANT ALLOWED
364677 IN SUM OF
CLEAN EARTH SYSTEMS INC
15245 AMBERLY DRIVE
TAMPA, FL 33647
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
32592 01- 720H -08 $2,740.00
Voucher Total $2,740.00
Cost distribution ledger classification if
claim paid under vehicle highway fund