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203428 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 083080 Page 1 of 1 ONE CIVIC SQUARE EDGEWOOD BUILDING SUPPLY i CHECK AMOUNT: $48.00 CARMEL, INDIANA 46032 3749 SOLUTIONS CENTER CHICAGO IL 60677 -3007 CHECK NUMBER: 203428 CHECK DATE: 11/9/2011 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 94354675 48.00 OTHER EXPENSES �DGE'WQDD EDGEWOOD BUILDING SUPPLY 1580 E. EPLER AVE INDIANAPOLIS, IN 46227 INVOICE Invoice 94354674 Invoice Date: 10/20/2011 CITY OF CARMEL DEPT OF RELATIONS SHIP TO: CITY OF CARMEL DEPT OF RELATIONS ONE CIVIC SQUARE VETERANS MALL CARMEL IN 46032 ONE CIVIC SQUARE CARMEL IN 46032 CUSTOMER# CUSTOMER PO# SALES ORDER# SALESPERSON CARRIER 1019648 VETERANS MALL 10341702 702 9999 DELIVERY DATE DEL.TICKET# QUANTITY PLANT UOM PRICE EXTENDED DESCRIPTION AMOUNT 10/20/2011 81824571 2.00 4008 EA 18.00/1 36.00 ENGRAVING CHARGE 8X8 PAVER 10/20/2011 81824571 1.00 4008 EA 12.00/1 12.00 ENGRAVING CHARGE 4X8 PAVER NON TAXABLE TAXABLE SALES TAX TOTAL DUE TERMS: 48.00 48.00 Before 10 of nxt mo.10% disc -Net bef 30 of nxt MO. MAKE CHECKS PAYABLE TO: A service charge of 1 -1/2% per month which is an Edgewood Bldg Supply annual rate of 18% will accrue 30 days after 3749 Solutions Center Chicago, IL 60677 -3007 1019648/94354674_ Page:1 of 1 www.edgewoodbuildingsupply.com 317 786 -9208 Purchases of materials delivered and used in certain municipalities within Illinois and Indiana may be subject to a local use tax that you should self- assess. Please consult your tax advisor to determine if this tax is applicable to you. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. G Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0/20/1 94354674 Veterans Brick $48.00 ,1 s reby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance fi IC 5- 11- 10 -1.6 20 Clerk- Treasurer V Vv V1 ILI\ IYV. VVr %I ALLOWED 20_--- Edgewood Building Supply IN SUM OF 3749 Solutions Center r Chicago, IL 60677 -3007 ON ACCOUNT OF APPROPRIATION FOR —f Mayor's Office 1160 Mayor's Office #854 Gift Fund 1 0# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member 94354675 8 5 4 '$48.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the Y materials or services itemized thereon for which charge is made were ordered and received except .,e a yor Title Cost distribution ledger classification if claim paid motor vehicle highway fund