Loading...
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, I I I I i j 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