HomeMy WebLinkAbout204596 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00350856 Page 1 of 1
e ONE CIVIC SQUARE LEHIGH SAFETY SHOES CHECK AMOUNT: $168.90
CARMEL, INDIANA 46032 Po BOX 644755
PiTTSBURG PA 15264 CHECK NUMBER: 204596
CHECK DATE: 12113/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 128354 61.19 OTHER EXPENSES
651 5023990 539522 107.71 OTHER EXPENSES
www.LehighOutfitters.com
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Lehigh Outfitters, LLC
39 Fast Canal Street Original Invoice
Nelsonville, Ohio 45764
Sold To: Ship To:
CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR
TREATMENT PLANT TREATMENT PLANT
760 3RD AVE. SW 9609 HAZEL DELL PKWY
CARMEL IN 46032 INDIANAPOLIS,IN 46280
Invoice# Invoice Date Cust.No. Customer's Order Number Mobile -Unit Terms
128354 1 11/23/11 085893 00000 DALE RILEY 970000 Lehigh Outfitters Net 30 (10% Web Adjustment)
Salec�, F_omleyer Emp!c 'CO— urit ,'rvietci Auj aaies Serve Lri1 Cash Corupany Employe
Sli Id Name Dept Stylc Siz Qb price Anil Am Tax Amt Freigh Total Reel Subsid Bal Du Ded
128354 JEFF COOPER 5235 W 7.5 1 67-99 67.9 61.19 61.19
Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rce Company Subsidy Amount Due-
1 67.99 6.801 61.19
www.LehighOutrtters.corm
VL n G Save up to 25 Buy online with CustomFit! Paue 1
Tired of paper invoices? Ask for EIPP electronic Billing?
T T [TTE R,com Call 1 -800- 444 -4086
P
Lehigh Outfitters, LLC
39 Fast Canal Street Original I nvo i c e c�
Nelsonville, Ohio 45764 U 5
Sold To: Ship To:
CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR
TREATMENT PLANT TREATMENT PLANT
760 3RD AVE. SW 9609 HAZEL DELL PKWY
CARMEL IN 46032 INDIANAPOLIS,IN 46280
Invoice# Invoice Date Cust.No, Customer's Order Number Mobile -Unit Terms
539522 11/18/11 1 0858930 000 512879 970000 Lehigh Outfitters Net 30 (10% Web Adjustment)
Sales Employee Employee Depl. St Qty Unit Merc Adj Sales Serve Freight Lin" Cash Company Employe
Style Siz lied-
Slip. Id Name Price Arn Aril! Tax Amt —Total Rec Subsidy Barl)iu'
539522 JEFF COOPER R6642 W I 1 1 119.68 119.68 107.71 107.71
Total Qty Total Merchandise Adjustment Sales Tax Sery Fee Freight Cash Rec Company Subsidy Amount Due
1 119.68 11.97 1 107711 107.71
VOUCHER 116379 WARRANT ALLOWED
350856 IN SUM OF
LEHIGH SAFETY SHOES CO.
P.O. BoxB- 6 Yy755
Pittsburgh, PA 1-5�
I Sh
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
539522 01- 7202 -06 $107.71
2$ 3 5`t
C'
Voucher Total .71
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
350856
LEHIGH SAFETY SHOES CO. Purchase Order No.
P.O. Box 371958 Terms
Pittsburgh, PA 15250 Due Date 1216/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2011 539522 $107.71
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
z1e /I, rv--
Date Officer