HomeMy WebLinkAbout204977 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365921 Page 1 of 1
ONE CIVIC SQUARE ST REGIS CULVERT INC
CARMEL, INDIANA 46032 202 MORRELL ST CHECK AMOUNT: $33.04
CHARLOTTE MI 48813
CHECK NUMBER: 204977
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 92918 33.04 SMALL TOOLS MINOR E
S T.
EG s Iruv ®Ic
202 Morrell St Charlotte, MI 48813 517 543 -3430
C U L V E R T I N C
Page: 1
BILL TO SHIP TO Printed By: CA TIE PRUDEN
CARMEL STREET DEPT CARMEL STREET DEPT
3400 WEST 131 ST 3400 WEST 131 ST
CARMEL, IN 46074 CARMEL, IN 46074 USA
Tele: 317 733 -2001 Fax: Ship: C/T; Acnt ID: 71835
Order ID Order Date Tax Code Account Manager Your PO Warehouse
9291.8. 12/12/11 TAX EXEMPT GARY LATHAM HEADWALL INDIANAPOLIS PLANT
Part Number Product Name um Qty Ord Qty Ship Qty BO Sell Extended Tx
RB1212 12" ANNULAR BAND 1 FT EA 2 2 0 $16.52 $33.04 2
Special Instructions
Discounts Total Before Tax Tax Freight Invoice Total Balance Due
0.00 $33.04 0.00 0.00 $33.04 $33.04
Ba lance Due: 01/1112012
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))
12/12/11 92918 $33.04
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 NO.
ALLOWED 20
St. Regis Culvert Inc.
IN SUM OF
202 Morrell St.
Charlotte, MI 48813
$33.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 92918 42- 380.00 $33.04 I 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 16, 2011
Street Commissioner
Street CcTitlenissicner
Cost distribution ledger classification if
claim paid motor vehicle highway fund