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205941 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 359854 Page 1 of 1 ONE CIVIC SQUARE N M C INC CHECK AMOUNT: $308.69 CARMEL, INDIANA 46032 DEPT 1784 s o DENVER CO 80291 -1784 CHECK NUMBER: 205941 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 651 5023990 PART241180 308.69 OTHER EXPENSES NMC' Invoice Summary Page I Invoice Number PART2411802 11002 Sapp Bros. Dr Invoice Date 01 -07 -12 Omaha. NE 68138 Account Number 0040670 ADDRESS SERVICE REQUESTED SHIP TO CARMEL WASTEWATER 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 S N G L P CARMEL UTILITIES For Billing Inquiries: Please Call (800) 891 -8015 760 3RD AVE SW STE 110 5 All other inquires: (800) 628-6025 CARMEL IN 46032 -2070 Document Number. 0OC713632 P10 Number. JEFF COOPER Make: ID Number Document Date: 01 -06 -12 Ship Via: UPS Model' Meter Smr.ch: Omaha= Cunt knit Serial Quantity Description Units Price Totals PARTS SALES PERSON: Dave Thomas 1 3120M MAILER 20 S 280.00 00000 280.00 TOTAL PARTS 280.00 T 1 OUTBOUND FREIGHT 12.60 TAL MISC CHARGES 12.60 T NE ALES TAX 16.09 T 5TH OF THE NEXT MONTH Remit to: Please Pay This Amount $308.69 NMC Exchange LLC (USD) D1 P'r 1784 Amount Credited O DENVER, CO 80291 -1784 Please disregard if alread paid Accounts not paid by 15th of month, following date of purchase, will be past due and a service charge will be added. Accounts exceeding credit limit or 30 days past due will be handled on a cash basis. Claims for shortages or damages must be made within 5 days. Returns, if acceptable, subject to 15% handling charge. 'Non- returnable item. Items not shown are backordered. No service adjustment unless NMC,Inc. is notified, in writing, within 30 days. 9 001- 001- Customer Copy 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 359854 N M C I N C Purchase Order No. Dept 1784 Terms Denver, CO 80291 -1784 Due Date 1/24/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/24/2012 PART24118( $308.69 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 O icer VOUCHER 116642 WARRANT ALLOWED 359854 IN SUM OF NMCINC Dept 1784 Denver, CO 80291 -1784 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code PART241180: 01- 7202 -06 $308.69 Voucher Total $308.69 Cost distribution ledger classification if claim paid under vehicle highway fund