HomeMy WebLinkAbout204540 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365868 Page 1 of 1
ONE CIVIC SQUARE CRYOTECH DEICING TECHNOLOGY CHECK AMOUNT: $2,918.70
CARMEL, INDIANA 46032 DEPT LA 23065
off �o PASADENA CA 91185 -3065 CHECK NUMBER: 204540
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236500 IN25846 2,918.70 SALT CALCIUM
CRYOTIECH INVOICE Date Page
12102111 1 1
Invoice Number
General Atomics International Services Corporation IN25846
dba Cryotech Deicing Technology
6103 Orthoway, Fort Madison, IA 52627 -9415
(319) 372 -6012 (800) 346 -7237
PLEASE CALL 800 346 -7237 FOR QUESTIONS REGARDING THIS INVOICE. THANK YOU FOR YOUR ORDER!
Sold To: Carmel Street Department Ship o:
131st Street P Carmel Street Department
3400 W
Carmel, 1 st Street 3400 W. 131st Street
Carmel, IN 46074
Bill To Code: CARMELS Ship To Code: CARMEL
Order No. Order Date GSA Contract Reference PO Number Ship Via FOB Terms I Due Date
BL43211 11 /30/11 VERBAL JEFF LTLOLD Origin NET30 01 /01/12
Qty. Ship Item Number Description Unit Price UOM Extended Price
Shp. From p
40.0001 01 1400 -40 Cryotech NAAC Airport Deicer /25 KG Bag /40 per pallet 68.4000 EACH 2,736.000
Shipped 40 25kg bags of NAAC from Ft. Madison, IA on
11/30/11
SHNANT Shipping Handling, NAAC, Non taxable 182.700
Shipped via Old Dominion
Payment Term NET30: Net 30 Days
Remit to: Cryotech Deicing Technology Tax summary: Subtotal 2,918.70
Dept LA 23065 IN non taxable Total sales tax 0.00
Pasadena, CA 91185 -3065 Total amount 2,918.70
Federal Tax ID 33- 0270225
Less Payment 0.00
Amount Due 2,918.70
A late payment charge will be assessed on past due balances at the rate of 18% per year or at the maximum rate permitted by law in the state of residence, whichever is less
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))
12/02/11 I N25846 $2,918.70
1 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. WARRANT N
ALLOWED 20
Cryotech Deicing Technology
IN SUM OF
Dept LA 23065
Pasadena, CA 91185 -3065
$2,918.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 IN25846 42- 365.00 $2,918.70 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
Friday December 09, 2011
Street Commissioner
.Q
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund