HomeMy WebLinkAbout175724 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363192 Page 1 of 1
ONE CIVIC SQUARE HERESITE PROTECTIVE COATINGS INC
INDIANA 46032 PO Box 25o CHECK AMOUNT: $153.90
CARMEL
st T'' MANITOWOC WI 54221
CHECK NUMBER: 175724
CHECK DATE: 816/2009
D EPARTMENT AC COUNT PO N UMBER INVO NUMBER AMOUNT DESC
651 5023990 73040 153.90 OTHER EXPENSES
_HF.RESITE PROTECTIVE COATINGS, INC. ORIGINAL INVOICE
P.O. BOX 250 INVOICE 73040
MANITOWOC, WISCONSIN 54221 -0250 CUSTOMER NO.
TELEPHONE: 920 6846646 CIT795
FAX 920 6840110
s
5 H
0 1
L CITY OF CARMEL INDIANA P CITY OF CARREL INDIANA
D WASTEWATER, TREAT= PLANT._ p WASTEWATER TREATMENT PLANT
T .9609 HAZEL DELL PKWY T 9609 HAZEL DELL PKWY
INDIANAPOLIS,. -IN- 46280 0 INDIANAPOLIS, IN 46280
DATE
Verbal., 0.7/21/09_ v .10. 211026_
12 12 -554T VR -554T Spray Can 12.50 150.00
1 1 S Fed Ex Ground Charges 3.90 3.90
Shipped 7-21 -09 FedF round 0543108 2004223
EXEMPT EROM IN SALES T kX
NonTaxable Subtotal 153.90
Taxable S total 0.00
Tax. 0.00
Page 1 Total 153.90
CLAIMS FOR DAMAGES OR DEFICIENCIES MUST BE MADE WITHIN
FIVE DAYS AFTER RECEIPT OF GOODS, NO GOODS TO BE RETURNED
WITHOUT INSTRUCTIONS FROM U5.
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
363192
HERESITE PROTECTIVE COATINGS INC Purchase Order No.
PO BO X250 Terms
MANITOWOC, WI 54221 Due Date 7/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2009 73040 $153.90
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
VQUCHER 096126 WARRANT ALLOWED
363192 IN SUM OF
HERESITE PROTECTIVE COATINGS It
PO BO X250
MANITOWOC, WI 54221
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
73040 01- 7202 -06 $153.90
Voucher Total $153.90
Cost distribution ledger classification if
claim paid under vehicle highway fund