HomeMy WebLinkAbout204322 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365719 Page 1 of 1
ONE CIVIC SQUARE MOUSER ELECTRONICS
CARMEL, INDIANA 46032 PO BOX 99319 CHECK AMOUNT: $16.42
LION GO
FORT WORTH TX 761990319 CHECK NUMBER: 204322
CHECK DATE: 1216/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 28260108 16.42 OTHER EXPENSES
Please remit to:
Mouser Electronics, Inc. Original Invoice
P.O. Box 99319
a tti company Fort Worth TX 76199 -0319
1000 North Main Street, Mansfield, TX 76063 28260108 26- OCT -11 1 of 1
Sales Rep: Shoki Hubby
Sales: 800 346 -6873
Credit: (800) 333 -9924 'Reference Number 1165344
Federal ID# 61- 1520598 INCOTERMS: FCA Shipping Point. 512799 127759950310295617
In
Nil o.
LARRY SCHIMMEL UPS GROUND SERVICE 1165399 NET 30 13- SEP -11
iiiiiiiiiiiiIIIIIIIIIIIIIIIl111' CARMEL WASTE WATER
e CARMEL WASTE WATER e e 9609 HAZEL DELL PARKWAY
9609 HAZEL DELL PARKWAY NORA, IN 46280
NORA, IN 96280 UNITED STATES
UNITED STATES
4 617 19120005057 2 2 0 8.210 16.42
HARTING Heavy Duty Power Connector
HOOD CBL ENTRY
US HTS: 8538908080 ECCN:EAR99 COO:DE
pay this amount USD $17 57
16.92 0.00 ==Please
If•IPORTANT: Tn order to process your payment correctly you must include the ref( a number and the invoice number when you s bmit your p ment.
These are located at the top of this invoice.
We paid all the shipping charges on this order. Shipping costs paid by us totaled $6.29.
1Z7759950310295617 1 lb
gil 11111,
This order is subject to all terms and conditions displayed at: http: /www.mouser.com /saleterms
VOUCHER 116304 WARRANT ALLOWED
365719 IN SUM OF
MOUSER ELECTRONICS
PO Box 99319
Fort Worth, TX 76199
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board member!-./
PO INV ACCT AMOUNT Audit Trail Code
28260108 01- 7202 -06 $16.42
Voucher Total $16.42
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
365719
MOUSER ELECTRONICS Purchase Order No.
PO Box 99319 Terms
Fort Worth, TX 76199 Due Date 11/28/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/201' 28260108 $16.42
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
;2 /X /i
Date Officer