HomeMy WebLinkAbout206586 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM
CARMEL, INDIANA 46032 2045 S WABASH STREET CHECK AMOUNT: $144.27
WABASH IN 46992 CHECK NUMBER: 206586
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 IN00504559 144.27 REPAIR PARTS
AGRO CHEM, INC. Invoice Date Invoice
AGRO CHEM 2045 S WABASH STREET 2/9/2012 IN00504559
WABASH, IN 46992
Phone: 800 686 -5680
Fax: 888 -281 -4321
www.agrochem.com
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
ONE CIVIC SQUARE 3400 WEST 131 STREET
CARMEL,IN 46032 CARMEL,IN 46032
STATEMENTS SENT CBI- MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms Due Date
5 2/9/2012 UPS NET 30 DAYS 3/10/2012
Ordered Shipped B/O Item Code Description Price Each Amount
I 1 0 4300500 12 VOLT PUMP 134.00 134.00
1 1 0 UPS SHIPPING 10.27 10.27
Total $144.27
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))
02/09/12 I N00504559 $144.27
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
VOU NO. WARRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$14 4.27
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 IN00504559 42 370.00 $144.27 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
Thursd y, F b ary 23, 2012
e
9 &/tx�
vV treet Co mis o er
Street Cor'�Mssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund