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175588 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 020500 Page 1 of 1 ONE CIVIC SQUARE BBC PUMP EQUIP CO. INC CHECK AMOUNT: $311.87 CARMEL, INDIANA 46032 777 N TIBBS AVE PO BOX 22098 CHECK NUMBER: 175588 INDIANAPOLIS IN 46222 CHECK DATE: 8/6/2009 DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AM OUNT DES 651 5023990 78108 311.87 OTHER EXPENSES BBC P ump and ~~c^ OATE NUMBER 777N. Tibbs Ave, P.0. Box uz098 Indianapolis, IN 46222 2 7 (317)^638'1111 Fax(317)"636'5*67 S CAR250 S INVOICE 0 CARMEL WWTP CARMEL WWTP L D IF 9609 HAZEL DELL PKWY T T 9609 HAZEL DELL PKWY u INDIANAPOLIS, IN 46280 u INDIANAPOLIS, IN 46280 ATTN JEFF COOPER TAX JURISDICTION NO. DESCRIPTION TAX EXEMPT �317)571­2634 0006 TAX EXEMPT LOC. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. CUST. ORDER NO. SALESPERSON GLK TERMS COPY PAGE 1 1 4:140 gmmm 11 gm BACKORDERED apmPum INVOICE INVOICE INVOICE INVOICE EA 300.00 11.87 311.87 SALES AMOUNT SALES TAX SHIPPING CHG. CODE DEPOSIT CASH CODE A FINANCE CHARGE OF 11h% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF la% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. ALL CLAIMS FOR DAMAGES AND SHORTAGES MUST BE REPOR WI SEV DAYS INVOICE DA RECEIVED BY 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 20500 BBC PUMP EQUIPMENT Purchase Order No. 1125 W. 16th Street Terms P.O. Box 22098 Due Date 7/28/2009 Indianapolis, IN 46222 Invoice Invoice Description rl Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2009 78108 $311.87 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 096124 WARRANT ALLOWED 20500 IN SUM OF BBC PUMP EQUIPMENT 1125 W. 16th Street P.O. Box 22098 Indianapolis, IN 46222 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 78108 01- 7362 -06 $311.87 E� l� Voucher Total $311.87 Cost distribution ledger classification if claim paid under vehicle highway fund