HomeMy WebLinkAbout170378 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 361032 Page 1 of 1
ONE CIVIC SQUARE DYNA SYSTEMS
CARMEL, INDIANA 46032 P 0 BOX 971342 CHECK AMOUNT: $161.93
DALLAS TX 75397 -1342 CHECK NUMBER: 170378
CHECK DATE: 4/1/2009
DEP ARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 20247651 161.93 BUILDING REPAIRS MA
I
Dyna Systems A90 SHIP TO Invoice
P.O. Box 655326 �BROOKSHIRE GOLF CLUB
Dallas, TX 75265 -5326
:;800) 336 -0450 JOHN JUDAY 1 of 1
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
NCH Corporation
90 131 Acc
O
�y a
BILL TO REMIT TO: PO BOX 971342 o�
BROOKSHIRE GOLF CLUB DALLAS TX 75397 -1342 `are roumne`�
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 1 5
days after receipt of goods.
INVOICE INVOICE DATE CUSTOMER CUSTOMER P/0 DUE DATE
20247651 03/17/09 DY305524 BOB RUSSELL 04/16/09
ORDER SHIP DATE SALES REP RELEASE SHIP VIA
20199756 -1 03/1.7109 D202 D202!1066 FED EX _GROUND
FOR REORDERS CALL 1- 800 336 -0450 FAX 1- 972 721 -6870
PA ST Nei PKG QTY BED...; t3l1� SF3P. t3MIT #�I#ICE EkT �MOiJ�iT;:
i3I SCRjpTIiJN /SIZE..
42511341 PIN CLEVIS EA 0 10 9.52
42511745 PIN CLEVIS EA 0 10 14.89
05611300 PIN HAIRPIN COTTER EA 0 50 12.46
40060012 CLAMP ALL STAINLESS HOSE EA 0 10 18.87
41350125 FUSE AUTO CLEAR EA 0 10 14.20
20239413 EASY DISCONNECT FEM BLUE EA 0 50 18.89
20038400 BUTT CONNECTOR BLUE NYLI EA 0 50 16.52
20038300 BUTT CONNECTOR RED NYLON EA 0 50 16.52
00421329 CAP SCREW SIX SHOOTER EA 0 50 11.16
00421333 CAP SCREW SIX SHOOTER EA 0 50 11.61
03021300 WASHER FLAT USS DOMESTIC EA 0 100 7.48
RECEIVED
MAR 2.6 2009
BY:
SUB -TOTAL DISCOUNT MIN ORDER CHG SALES TAX *SHIPPING TOTAL
152.12 0.00 9.81 AMOUNT 161.93
TO INSURE PROPER CREDIT, PLEASE DETACH HERE AND MAIL BOTTOM PORTION WITH YOUR PAYMENT.
Prescribed by 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
{I 0N ��c Purchase Order No.
'9 1 2 /6'54 Terms
T 1.5 09 7 /J Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5 a16
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
1201 C%d /7yGe o2SC
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
20
Sign �tur
Cost distribution ledger classification if d!/ Ti
claim paid motor vehicle highway fund