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206360 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00353316 Page 1 of 1 ONE CIVIC SQUARE MOORE INDUSTRIAL HARDWARE CHECK AMOUNT: $48.35 �o CARMEL, INDIANA 46032 77 CIRCLE FREEWAY DRIVE CINCINNATI CH 45246 -1298 CHECK NUMBER: 206360 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 399125 48.35 REPAIR PARTS MOORE INDUSTRIAL HARDWARE FORMERLY PAUL MOORE COMPANY 77 CIRCLE FREEWAY DRIVE CINCINNATI, OHIO 45246 -1298 PHONE 1- 888- MOORE -IH FAX 1- 888- MIH -FAXD E- mail:sales @mooreindhardware.com Web:www. mooreind hardware. com AGE i S H CARMEL FIRE DEPARTMENT P 2 CIVIC SQUARE T CARMEL IN 46032 INVOICE O INVOICE NO. INVOICE DATE CONTROL NO. 0 CARMEL FIRE DEPARTMENT 12C D 2 CIVIC SQUARE T CARMEL, IN 46032 SON FORCE O JA CUST. NO. DATE ENTERED PM ORDER NO. PURCHASE ORDER NO. TERMS SHIP VIA F.O.B. QUANTITY j QUANTITY DESCRIPTION BACK QUANTITY PRICE EACH AMOUNT ORDERED ORDERED SHIPPED 1 E =AA- 8350 -30U 1 39.58 39.58 PNEUMATIC SPRING. BALL STUDS SAFETY CLIPS DELIVER" CHARGES 8.77 OTAL 48.35 JPS TRACKING: 124690290343216330 Thank You THE HOUSE OF INDUSTRIAL PRODUCTS" WAREHOUSES IN CINCINNATI AND ATLANTA ANN No claim for shortage or defective goods on this invoice nor labor or expense of any kind on same, will be allowed unless claim be reported within fifteen days after date of invoice, and we shall have approved claim. We reserve the option of replacing defective goods or making allowance for same. We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, 7, and 12 of the Fair Labor Standards Act, as amended and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. 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)) 399125 $48.35 1 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 N ALLOWED 20 Moore Industries IN SUM OF 77 Circle Freeway Drive Cincinnati, OH 45246 $48.35 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 399125 I 42- 370.00 I $48.35 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 FED 3 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund