HomeMy WebLinkAbout203789 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 029100 Page 1 of 1
ONE CIVIC SQUARE BREHOB CORPORATION
CARMEL, INDIANA 46032 1334 S MERIDIAN ST CHECK AMOUNT: $7.00
PO BOX 2023
o CHECK NUMBER: 203789
INDIANAPOLIS IN 46206 -2023
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 561483 7.00 OTHER EXPENSES
INDIANAPOLIS
ORIGINAL INVOICE— CINCINNATI
PAGE 1 DETROIT
FORT WAYNE
Electric o Air Compressor Crane Hoist LOUISVILLE
COLUMBUS
PO BOX 2023 ELKHART
Indianapolis, IN 46206 -2023 (317)231 -8080 www.brehob.com
Sold CITY OF CARMEL UTILITIES Ship CITY OF CARMEL UTILITIES
to ATTN: A/P to 9609 HAZEL DELL PARKWAY
760 3RD AVE., SW #110 INDIANAPOLIS, IN
CARMEL, IN 46280 -0000
46032 -0000
JEFF COOPER 571 -2634 X222
JOB NO. SO INVOICE DATE INVOILE NO.
01 62352700 10106111 CITCA 561483
DATE ENTERED COST. ORDER NO, SALESMAN SHIPMENT REQUESTED SHIP VIA J DATE SHIPPED TERMS: F.O.B. IndlanapaAa
10/05/11 512792 110 10/05/11 Will Call 10/05/11 NET 30
QUANTITY
SHIPPED ORDE rD DESCRIPTION UNIT PRICE EXTENDED PRICE
1 1 N0154 F2516 777.70 777.70
15HP 1800 254T 3PH TEFC TECO
THANK YOU FOR YOUR ORDER
RUDY BRINKER
INVOICE TOTAL 777.70
*Past Due Invoices are subject to a service charge of 1 per month. Our permission must be obtained before returning merchandise to us.
Acceptance of Brehob's product or services shall be deemed to constitute an agreement on the part of the Buyer to the terms and conditions set forth on the reverse side of this document which
pe
sursede all previous agreements. The terms and conditions stated herein shall take precedence over any other conditions and no contrary. additional or different conditions shall is bindino on Brehnh
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
29100
BREHOB CORPORATION Purchase Order No.
1334 S MERIDIAN ST Terms
PO BOX 2023 Due Date 11/17/2011
INDIANAPOLIS, IN 46206 -2023
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/201' 561483 ADD $7.00
I 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 O cer
VOUCHER 116276 WARRANT ALLOWED
29100 IN SUM OF
BREHOB CORPORATION
1334 S MERIDIAN ST
PO BOX 2023
INDIANAPOLIS, IN 46206 -2023
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
561483 ADDP 01- 7202 -06 $7.00
1 pN
5 C/
P
Voucher Total $7.00
Cost distribution ledger classification if
claim paid under vehicle highway fund