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178166 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 114000 Page 1 of 1 ONE CIVIC SQUARE GRAYBAR ELECTRIC CO, INC CHECK AMOUNT: $2.00 �o CARMEL, INDIANA 46032 12431 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 178166 CHECK DATE: 10/14/2009 D EPARTMENT ACCOU PO NUM BER INVOI NUMBE AMO UNT DESCR 1115 4237000 943428052 2.00 REPAIR PARTS fJ Remit To: (iT R- INVOICE r 1n� 41 i 12431 COLLECTIONS CENTER DRIVE 317-631 -1 411 CHICAGO IL 60693 -2431 Invoice No: 943428052 Invoice Date: 09/08/2009 Account Number: 0000154108 Account Name: CARMEL CLAY COMM CENTER 780.001.002.01559 CARMEL CLAY COMM CENTER JANET ARNONE 31 FIRST AVE N.W. CARMEL IN 46032 Ship to: CARMEL CLAY COMM CENTER CARMEL CLAY COMMUNICATION attn: Todd Luckoski 31 FIRST AVE N.W. CARMEL IN 46032. Pag 1 of 1 Order Number: VERBAL TODD L. 09/08 Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt, To 0836297827 1Z4410680371472635 UPS GROUND 109YO812009 INDIANAPOLIS, IN PPD Bill Quantity Catalog Description Unit Price Unit Amount 30 5G108 -R05 LEVITON MANUFACTURING. COMPANY, INC 4.40 /1 132.00 GIGAMAX SNP -IN JACK Terms of Payment Sub Total 132.00 Freight 4.74 1% 15 Days, net 30 Days Handling 3.00 As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00 1.1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 139.74 by net due date. Visa, MasterCard, American Express, and Discover credit cards Cash Discount (if paid within terms) 1.32 are accepted at point of purchase only. •�M Subject to standard terms and conditions on the reverse side. it 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)) 09/08/09 I 943428052 I $2.00 i 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 11 VO NO. W NO. ALLOWED 20 Graybar Electric IN SUM OF 12431 Collections Center Drive Chicago, IL 60693 $2.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1115 943428052 42- 370.00 $2.00 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, October 08, 2009 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund