HomeMy WebLinkAbout204824 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00351010 Page 1 of 1
ONE CIVIC SQUARE HALSEN PRODUCTS CHECK AMOUNT: $127.66
CARMEL, INDIANA 46032 PO BOX 877
off BELMONT MS 38827 CHECK NUMBER: 204824
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 0113593 -IN 127.66 UNIFORMS
Iltl'1f�' PAGE: 1
HALSEN Mdbk'` S_- COMPANY
P.O. BOX 677
800ONT 38827
NATIONWIDE-- 800- 344 -6696 INVOICE N 0113593
UMBER:
FAX.1 -a66 826 6839 INVOICE DATE: 12/9/2011
ORDER NUMBER:
ORDER DATE:
SALESPERSON: 0523
CUSTOMER NO: 0230327
SOLD TO SHIP TO
CITY OF CARMEL CITY OF CARMEL
ACCOUNTS PAYABLE DEPT ERIC
3400 W 131ST ST 3400 WEST '1 STREET
Westfield, IN 46074 Westfield, IN 46074
CONFIRM TO:
BONNIE /ERIC
F CUSTOMER PO �a 4s rte E k
Ft7B 5�x::.0 y<t r TERMS rr..
VBL ERIC UPS Net 30
ITEM NO s `i ANIOIJIVT
F8750 -K EACH 15 15 0 7.750 116.25
T/G P/S HI VIZ T INSULA E LINE
2 5
Discount 0.00
erg' FrP�t
11.41
THANK YOU FOR YOUR ORDER t
Sa`les:`Tax' -o -oo-
.Inuoce Total: 127.66
Less Deposit 0.00
J.
127.66
INVOICE BALANCE
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Halsen Products
IN SUM OF
P. O. Box 877
Belmont, MS 38827
$127.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member,
2201 0113593 -1N 43- 560.01 $127.66 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
/Thursday, December 15, 2011
re t t reet C o mmission&
et ornm mc.'n, a.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
12/09/11 0113593 -I N $127.66
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