HomeMy WebLinkAbout204135 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 362073 Page 1 of 1
ONE CIVIC SQUARE ANDAX INDUSTRIES, LLC
CHECK AMOUNT: $431.16
CARMEL, INDIANA 46032 613 WEST PALMER STREET
ST MARYS KS 66536 CHECK NUMBER: 204135
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467004 24266 54807 431.16 HAZ MAT EQPT
'&`9'9@®�o.6':.ce
613 W Palmer Street
Saint Marys, KS 66536 Invoice No z Page
Tel: 785- 437 -0604 54807 1
invoice date P:
Fax: 785-437-0616 11/Z1/2011
http: /www.andax.com
Bill To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
ACCOUNTS PAYABLE ATTN: DENISE SNYDER
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
US US
Order No Order Date Custome °Loc .Sa Rep PO j, Ship PPD /CQL`,4
49089 11!14/2011 1004144 4 69 24266 UPS- GROUND Prepaid
Quantity ordered' Qty'ShippedyReturned Ytem IVo Item price �T UOP�I Extended Total E
Quant�tyon5back Des Discounts% y y price
._.a. A,_,..
2 2 TTF -150 190.97 EA 381.94
150 GAL TANK TRAP STORED SIZE
25 "D X 4 "H
Comments: Sales amount: 381.94
Miscellaneous amount: 0.00
Freight: 49.22
KS Sales Tax: 0.00
Subtotal: 431.16
Amount Received: 0.00
Total amount due X431 16
PAST DUE INVOICES SUBJECT TO MIN $75.00 COLLECTION FEE PLUS 1.74%
FINANCE CHARGE PER MONTH
Payment terms NET 30 DAYS
Customer Copy
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
54807 $431.16
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
20
Clerk- Treasurer
VOUCHER NO. WARRA NO.
Andax Industries, LLC ALLOWED 20
IN SUM OF
613 West Palmer Street
St. Mary, KS 66536
$431.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
24266 I 54807 1 102 670.04 I $431.16 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
DEC-5 2011
d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund