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169390 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 056600 Page 1 of 1 0 ONE CIVIC SQUARE CHANNING L BETE CO, INC CHECK AMOUNT: $430.55 CARMEL, INDIANA 46032 PO BOX 84 -5897 BOSTON MA 02284 -5697 CHECK NUMBER: 169390 CHECK DATE: 314/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 430.55 OTHER.EXPENSES ch aI1n One Community Place I T1� South Deerfield, MA 01373 -0200 INVOICE DATE INVOICE NO. PAGE �e�e 1- 800- 322 -3564 1-413-665-7611 02/20/09 519 4 0 3 2 6 RI 1 COMPANY® custsvcsQchanning- bete.com Tara Rubush ORIGINAL INVOICE SHIP TO Laboratory CUSTOMER PURCHASE ORDER NO. Carmel Wastewater Treatment 9609 Hazel Dell Parkway 511520 Indianapolis IN 46280 SHIP DATE TERMS 02/20/09 Net 30 Days City of Carmel WWTP Customer: 10868404 SOLDTO 760 3rd Avenue SW OrderNbr: 12599941 SO Carmel IN 46032 MESSE P QUANTITY DESCRIPTION ITEM NO. UNIT PRICE EXTENSION 50v WASTEWATER TREATMENT ACT BK 56655 .790 395.0 1 SHIPPING HANDLING CHARGE 904905 35.550 35.55 Subtotal 430.55 Sales Tax .00 Total Amount Due 430.55 l Fre mNo 301 St eBo 1995) ccounts For ACCOUNTS PAYABLE VOUCHER Form No. 301 -5 (Rev. 1995) TO i ADDRESS Invoice Date Invoice Number Item Amount 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 19 Signature Title 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. Officer Title Voucher No. Warrant No. i ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ACCT. ,^[L, CARMEL, INDIANA NO Of L RAN. �ef e F lu o _TN P ©I�oKSY -s$47 Total Amount of Voucher Deduct ol. �202.os Amount of Warrant Month of 19 VOUCHER RECORD A No Collection System Operation Plant Commercial General Undistributed Construction Depreciation Reserve Stock Accounts Merchandise Total Allowed Board Members Filed BOYCE FORMS SYSTEMS 1 -800 -382 -8702 325