HomeMy WebLinkAbout173305 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 361032 Page 1 of 1
L b ONE CIVIC SQUARE DYNA SYSTEMS CHECK AMOUNT: $432.77
CARMEL, INDIANA 46032 P O BOX 971342
DALLAS TX 75397 -1342 CHECK NUMBER: 173305
CHECK DATE: 6/10/2009
D EPARTM ENT AC COUNT PO NU MBER INVOIC NUMBER AMOUNT DESCRIPTION
1207 4238900 20264569 432.77 OTHER MAINT SUPPLIES
i
Dyna Systems SHIP TO Invoice P.O! Box 655326 �BROOKSHIRE GOLF CLUB
Dallas, TX 75265 -5326
1800) 336 -0450 RUSSEL PICKETT 1 of 1
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
NCH Corporation
g �p1 Ac
`4 of
BILL TO REMIT TO: PO BOX 971342 f lo co
BROOKSHIRE GOLF CLUB DALLAS TX 75397 -1342
BOB HIGGINS `Distribution services include shipping and handling
12120 BROOKSHIRE PKWY charges- Returned merchandise not accepted without
CARMEL IN 46033 return goods authorization. All return claims for errors
or adjustments of any kind must be made within 15
days after receipt of goods.
INVOICE INVOICE DATE CUSTOMER CUSTOMER P/0 DUE DATE
20264569 05/15/09 DY305524 RUSSEL 06/14/09
ORDER SHIP DATE SALES REP RELEASE SHIP VIA
202 16117 -2 05/15/09 D202 D202!6112 FED EX GROUND
FOR REORDERS CALL 1- 800 -336 -0450 FAX 1- 972 721 -6870
PART NCB fiJESC#t {f?T #bN /SERE :PKG QTY 8l QTY SHk� uNIT<rEtECE EX 1. AMOU�iT
DY99944500 CAPSCREW METRIC 8.8 40BIN EA 0 1 438.97
DY00421337 CAP SCREW SIX SHOOTER EA 0 50 10.60
DY01981300 NUT GR8 HEX USS USA /CAN M EA 0 50 8.19
DY75021109 BIN BASE EA 0 1 0.00
Y Z
Y. 2009
SUB -TOTAL DISCOUNT MIN ORDER CHG SALES TAX SHIPPING TOTAL
457.76 91.55 0.00 66.56 AMOUNT 432.77
T! ISUI E RO n C EDIT P
PresQribed b$ State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
00 �SYF�yi Purchase Order No.
Terms
1 -1 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total,
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.
09 ALLOWED 20
D!jk 4 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# D EP T INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
O`7 ao S 38Q 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
20
Signatyl>•e��
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund