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173748 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352867 Page 1 of 1 0 ONE CIVIC SQUARE CALIFORNIA CONTRACTORS SUPPLIESACK AMOUNT: $148.50 CARMEL, INDIANA 46032 7729 BURNET AVE tie VAN NUYS CA 91405 CHECK NUMBER: 173748 CHECK DATE: 6124/2009 DEPARTMENT ACC OUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPT 601 T 5023990 60386 148.50 OTHER EXPENSES q q AIIFORNIA CONTRACTORS SUPPLIES INC. INVOICE No. 7729 BURNET AVENUE If 6 0 3 8 6 VAN NUYS, CALIFORNIA 91405 PLEASE REFER TO THIS INVOICE NO. ANY (800) 423 -2953 Q UESTIONS REGARDING THIS INVOICE OR FOR REORDERING CALL TOLL FREE (818) 785 -8823 (800) 423 -2953 CUSTOMER'S ORDER NO. ORDER DATE MARKETING REP. CODE MARKETING CO. DATE SHIPPED VERBAL 5 22 09 I LL STONE BS B -L 5 27 09 MM SOLD F SHIP TO (SAME AS "SOLD TO "UNLESS SHOWN] TO CITY OF CARMEL ATTN ROB LOWELL 5484 E 126TH CARMEL I N 46033 IF DELIVERY IS NOT MADE WITHIN 14 DAYS OF ABOVE "SHIPPING' DATE: J NOTIFY US AT ONCE SHIPPED VIA PURCHASED BY TELEPHONE NO. TERMS o 2./0 10 DAYS -NET 30 DAYS 2.6 69. t/2% per month Service Charge added to Past Due Invoices F x ROB L ow E L L 317 571 QUANTITY SHIPPED DESCRIPTION UNIT PRICE AMOUNT 100 3/4 UL IMPORT ELEC TAPE ,99 99.00 50- 1/2 x 260 TEFLON TAPE ,99 49,50_ RECEIVED BY L L DATE HANDLING Q M�� CHARGE NC PO# U�� ACC F D PAY THIS 148.50 AMOUNT USE CCS GUARANTEE IF FOR ANY REASON YOU ARE NOT.COMPLETELY SATISFIED, WE WILL GLADLY 4 e 46 1 2 a 96 REPLACE YOUR ORDER, CREDIT YOUR_ ACCOUNT, OR REFUND YOUR MONEY WITHIN 30 DAYS AFTER RECEIPT OF RETURNED MERCHANDISE. ALL CLAIMS FOR SHORTAGES OR ERRORS MUST BE MADE ON RECEIPT OF GOODS. WE ARE NOT RESPONSIBLE FOR BREAKAGE OR SHORTAGE OF CARTONS- FILE CLAIM WITH CARRIERS. PLEASE'RETURN THIS COPY WITH REMITTANCE py� _1. l' f .'4 \fES.i' ra j �G �G R_�`.e -x v. -:,,fF r 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 sho�ni, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352867 CALIFORNIA CONTRACTORS SUPPLIES INC Purchase Order No. 7729 BURNET AVENUE Terms VAN NUYS, CA 91405 Due Date 6/10/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/10/2009 60386 $148.50 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 Date Officer VOUCHER 092052 WARRANT ALLOWED 00352867 IN SUM OF CALIFORNIA CONTRACTO UPPLII 7729 BURNET AVENUE VAN NUYS, CA 91405 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 60386 01- 6200 -02 $148.50 Voucher Total $148.50 Cost distribution ledger classification if claim paid under vehicle highway fund