HomeMy WebLinkAbout171907 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350404 Page 1 of 1
ONE CIVIC SQUARE KELTNER ASSOCIATES, INC
CARMEL, INDIANA 46032 520 W CARMEL DRIVE CHECK AMOUNT: $392.20
CARMEL IN 46032
CHECK NUMBER: 171907
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT D ESCRI P TION
2201 4356001 133799 392.20 UNIFORMS
Q Lockbox R REMITTANCE STUB
P.O. Box 11588 INvOICECeltner &Associates
K T LTN Fort Wayne, IN 46859 -1588 04/20/09
MC. 317 -844 -0510 i Invoice date
f
Ph:317- 733 -2001 Fx:317- 733 -2005 s
Customer H Invoice# 133799
Carmel Street Department
1442 P Attn Jim Hobbs Order 103542
D Carmel Street Department T 3400 W. 131st
Attn: Jim Hobbs o Westfield IN 46074 I Job#
Job# r 3400 W. 131st
o Westfield IN 46074
103542 Via UPS GroundTrak Carmel Street
FOB Factory I Customer
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice Customer 1442
0 1 1 34 Chuck Ford 1 04/03/09 04/20/09 04/23/09 133799 34 4P Salesperson
Ordered Shipped Qty BO Item Description Price Per Amount
25 25 S3L -04 LIME GREEN HI VIS VEST 15.300 EA 382.50
L -XL 25,
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I
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Terms Net 30 PLEASE PAY 392.20 Total due 392.20
Tax 0031201550 382.50 0.00 9.70 0.00 THIS AMOUNT !I
Sub -total Insurance Shpq/HdIq Sales tax Total
Any amount not paid within 36 days will bf assessed a finance charge of 1.5 %per month, 18% per year. Future orders will be held if account is past due. C USTOMER I N VOI C E
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))
04/20/09 133799 $392.20
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. WARRAN NO.
ALLOWED 20
Keltner, Inc
IN SUM OF
520 W. Carmel Drive
Carmel, IN 46032
$392.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 133799 43- 560.01 $392.20 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
e �Wedn ?s ay, 22, 2009
Street Commissio e
i f ilssi
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund