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179159 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1 4� ONE CIVIC SQUARE CHEMSEARCH CHECK AMOUNT: $375.95 CARMEL, INDIANA 46032 23261 NETWORK PLACE CHICAGO IL 60673 -1232 CHECK NUMBER: 179159 CHECK DATE: 11/11/2009 yEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1 1110 4232100 666146 375.95 GARAGE MOTOR SUPPIE 001 GINAL 021 "A rilttance Address INVOICE CHEMARCH. REORDERS CALL: 1- 800 -527 -9921 CHEMSEARCH CORRESPONDENCE TO: 23261 NETWORK PLACE P.O. BOX 152170 FAX 1- 972 -438 -0634 CHICAGO, IL 60673 -1232 IRVING, TEXAS 75015 www.CHEMSEARCH.com SOLD TO: ACCOUNTS PAYABLE Electronic Funds Transfer CITY OF CARMEL (EFT) CITY OF CARMEL POLICE 3400 payments are encouraged 3400 W 131ST Y g POLICE CARMEL IN 3 CIVIC SQUARE 46032 To enroll please call CARMEL IN 46032 1 -800- 527 -9919 -x0831 Cdst. Aect. No. •Invoica,No. Iavoicc Date Terms. Sales Rep Order No. Ship Date Customer P.O. No. 60230520 666146 09 -30 -09 NET 10 DAYS 6386 04640 09 -24 -09 Product Packaging Description Unit Price I Qty Billed Amouni 5014 2DOZ DURA -GARD AEROSOL 181.00 2 DOZ 362.00 Merchandise State Tax Local Tax *Shipping Inv. Total Amount 362.00 1 1 13.95 375.95 IN Tax #003512371-001-3 Federal Id# 75- 0457200 CHEMSEARCH DIVISION OF NON CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY KIND MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS- MZRCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN CONSENT. 'DISTRIBUTION SERVICES INCLUDE SHIPPING 5 HANDLING CHARGES F.O.B. DELVD. 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 Che mSearch Purchase Order No. 23261 Network PlAce Terms Chicago, 1L 60673 -1232 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/30/09 666146 paypent for battery protector from acid 375.95 Total 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 VOU*HER NO. WARRANT NO. ALLOWED 20 ChemSearch IN SUM OF 23261 Network Place Chicago, IL 60673 -1232 375.95 ON ACCOUNT OF APPROPRIATION FOR police general_Lfund Board Members D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 666146 321 375.95 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 November 4 20 09 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund