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HomeMy WebLinkAbout206198 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365868 Page 1 of 1 ONE CIVIC SQUARE CRYOTECH DEICING TECHNOLOGY CARMEL, INDIANA 46032 DEPT LA 23065 CHECK AMOUNT: $2,917.38 PASADENA CA 91185 -3065 CHECK NUMBER: 206198 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236500 IN26568 2,917.38 SALT CALCIUM CRyorzcH INVOICE Date Page 02/02/12 1 Invoice Number General Atomics International Services Corporation IN26568 dba Cryotech Deicing Technology 6103 Orthoway, Fort Madison, IA 52627 -9415 (319) 372 -6012 (800) 346 -7237 PLEASE CALL 800 346 -7237 FOR QUESTIONS REGARDING THIS INVOICE. THANK YOU FOR YOUR ORDER! Sold To: Carmel Street Department Ship o: 131st Street P Carmel Street Department 3400 W Carmel, 1 st Street 3400 W. 131st Street Carmel, IN 46074 Bill To Code: CARMELS Ship To Code: CARMEL Order No. Order Date GSA Contract Reference PO Number Ship Via FOB Terms Due Date BL44034 02/01/12 VERBAL MATT I LTLOLD Origin NET30 03 /03/12 S ty. p From Ship Item Number Description Unit Price UOM Extended Price p 40.0001 01 1400 -40 Cryotech NAAC Runway Deicer /25 KG Bags /40 per pallet 68.4000 EACH 2,736.000 Shipped 40 25kg bags of NAAC from Fort Madison, IA on 2/1/12 SHNANT Shipping Handling, NAAC, Non taxable 181.380 Shipped via Old Dominion Payment Term NET30: Net 30 Days Remit to: Cryotech Deicing Technology Tax summary: Subtotal 2,917.38 __Dept LA 23065 IN non taxable Total sales tax 0.00 Pasadena., CA 91185 -3065 Total amount 2,917.38 Federal Tax ID 33- 0270225 Less Payment 0.00 Amount Due 2,917.38 A late payment charge will be assesse.l on past due balances at the rate of 18% per year or at the maximum rate permitted by law in the state of residence, whichever is less 1 r 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)) 02/02/12 IN26568 $2,917.38 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. WAR NO. ALLOWED 20 Cryotech Deicing Technology IN SUM OF Dept LA 23065 Pasadena, CA 91185 -3065 $2,917.38 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 IN26568 42- 365.00 $2,917.38 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 Wednesday, February 08, 201 Il Street Commissioner y` 0 f Title Cost distribution ledger classification if claim paid motor vehicle highway fund