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HomeMy WebLinkAbout206178 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352813 Page 1 of 1 ONE CIVIC SQUARE CENTRAL INDIANA HARDWARE a CARMEL, INDIANA 46032 P.O. B OX 83030 CHECK AMOUNT: $2,746.38 +'r CHICAGO IL 60691 -3010 CHECK NUMBER: 206178 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 R4238900 27351 0078827 -IN 2,746.38 ROLL TOWEL DISPENSERS C I H INV ®ICE Paee I of I Central Indiana Hardware Schricker Division since 1951 P.O. Box 83030, Chicago, IL 60691 -3010 Schricker Division 800 -218 -8866 317 -578 -1984 FAX Invoice Number: 0078827 -IN Invoice Date: 1/27/2012 Order Number: 0138115 2 I Order Date 12/15/2011 J Salesperson: GWD J t Customer Number 51- 0003247 Sold To: Ship To: CITY OF CARMEL CITY OF CARMEL I CIVIC SQUARE 1 CIVIC SQUARE CARMEL, IN 46032 ATTN: JEFF BARNES CARMEL, IN 46032 CONFIRM TO: Customer P.O. Ship VIA F.O.B. Terms 27351 Net 30 Item Number Unit Ordered Shipped Back Ordered Unit Price Extension Item Description Color *3961 EACH 6.000 6.000 0.000 457.73 2,746.38 ROLL TOWEL WASTE RECEPTACLE D Q FEB 13 2012 By NEW REMITTANCE ADDRESS CENTRAL INDIANA IIARDWARE P.O. BOX 83030 CHICAGO, IL 60691 -3010 Remit Payment to: P.O. Box 83030 Net Invoice: 2,746.38 Less Discount: 0.00 Chicago, IL 60691 -3010 Freieht: 0.00 Sales Tax: 0.00 Invoice Total: 2,746.38 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)) 01/27/12 0078827 -IN $2,746.38 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. ALLOWED 20 Central Indiana Hardware IN SUM OF P.O. Box 83030 Chicago, IL 60691 -3010 $2,746.38 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 27351 0078827 -IN 42- 389.00 $2,746.38 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 Monday, February 13, 2012 Director, Ad Title Cost distribution ledger classification if claim paid motor vehicle highway fund