177606 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1
d 4 ONE CIVIC SQUARE CHEMSEARCH
CARMEL, INDIANA 46032 23261 NETWORK PACE CHECK AMOUNT: $352.95
s,rc CHICAGO IL 60673 -1232
CHECK NUMBER: 177606
CHECK DATE: 9/29/2009
DEPART ACCO PO NUMBER I NVOICE NUMBER A MOUNT DESCRIPTION
1120 4232100 658815 352.95 GARAGE MOTOR SUPPIE
ORIGINAL RHttancs
INVOICE
CHEMSGARCH. 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
IRVINC, TEXAS 75015 www.CHEMSEARCH.com
SOLD TO: SHIPPED TO:
Electronic Funds Transfer
CITY OF CARMEL (EFT)
CITY OF CARMEL FIRE DEPARTMENT
FIRE DEPARTMENT 2 CIVIC SQUARE payments are encouraged
CARMEL IN
2 CIVIC SQUARE 46032
CARMEL IN 46032 To enroll please call
1- 800 -52 7- 9919 -x0831
Cust. Acct. No. Invoice No. Invoice Date Terms Sales Rep Order No. I Ship Date Customer P.O. No.
_60230988 „__65881. 09 -09 -09 NET 10 DAYS 638B 0421 09 -08 -09
Product Packaging Description Unit Price Qty Billed Amount
5014 1 DOZ DURA -CARD AEROSOL 183.00 1DOZ 183.00
5049 1 DOZ NATURALIZER AEROSOL 156.00 1DOZ 156.00
Merchandise State Tax Local Tax Shipping Inv. Total. Amount
339.00 13.95 352.95
IN Tax 003512371 -001 -3 Federal Id #75- 0457200
CE1EMMSEARC11 DIVISION OF NCH CORPORATION. ALL RETURNS, CLAIMS FOR ERRORS OR ADJUSTMENTS OF ANY RIND
MUST BE MADE WITHIN 15 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR
WRITTEN CONSENT. DISTRIBUTION SERVICES INCLUDE SHIPPING HANDLING CHARGES P.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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
658815 $352.95
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
VOUCHER NO, WARRANT NO.
Chemsearch ALLOWED 20
IN SUM OF
23261 Network Place
Chicago, IL 60673 -1232
$352.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #[TITLE AMOUNT Board Members
1120 658815 42- 321.00 $352.95 1 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
SEP
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund