HomeMy WebLinkAbout175111 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 358338 Page 1 of 1
ONE CIVIC SQUARE RUMFORD INDUSTRIAL GROUP
CARMEL, INDIANA 46032 PO BOX 752288 CHECK AMOUNT: $840.00
DAYTON OH 45475 CHECK NUMBER: 175111
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 60297 840.00 OTHER EXPENSES
Exclusive Independent Authorized Distributor Far. R UMFORD INDUSTRIAL GROUP INC.
772 Congress Park Drive
B Centerville, Ohio 45459
(937) 435 -4650 FAX (937) 435 -3242 (800) 336 -2827
Repair Protect Improve Email: Office @rumfordgroup.com
www.belzono.com www.rumfordgroup.com
Bill To Ship To
City of Carmel City of Carmel
Water Utilities /Kerri Loveall Water Utilities /Brian Tolan
3450 W. 131 st St. 3450 W. 131 st St.
Westfield, IN 46074 Westfield, IN 46074
P.O. Number Salesman Invoice No. Date SIC Codes JOB LOC Customer No.
W08715 1035 60297 5/21/2009 4940 13537
Quantity Code Description U/M Unit Price Extension
1 577 -1 SUPER E -METAL REPAIR KIT ea 800.00 800.00
15 x 125 gm. BELZONA 1221 (Super
E- Metal)
1 x 1 pint BELZONA 9111
(Cleaner /Degreaser)
1 x 100 gm. BELZONA 9411 (Release
Agent)
1 x 10 meters BELZONA 9341
(Reinforcement Tape)
1 BELZONA "How To CD"
1 Mixing Board
4 Large Spatulas
4 Applicators
1 Freight UPS Haz Mat Ground 40.00 40.00
Mark Package Tolan Plant 3
Subtotal $840.00
Sales Tax (7.0 $0.00
Pay This Amount $840.00
Please make check payable to Rumford Industrial Group
TERMS AND CONDITIONS OF SALE
the Seller sells the products and materials as described on the face hereof su6ject to the terms A SERVICE CHARGE OF 1 PER MONTH WILL BE CHARGED ON
and conditions as specified on its most current Price list and on the Customer order Form ALL OUTSTANDING BALANCES OVER FIFTEEN (15) DAYS.
signed by the Buyer Any additions to or-modifications-of these terms and conditions shall be subject
to approval in writing by Seller. Any additional ar different terms and conditions submitted in Bu TERMS: NET 15 DAYS, F.O.B. Centerville, Ohio
purchose order shall not apply and the terms and conditions stated on the Price List and on the Customer
Order Form shall control.
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
358338
RUMFORD INDUSTRIAL GROUP Purchase Order No.
PO BOX 752288 Terms
DAYTON, OHIO 45475 Due Date 7/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/2009 60297 $840.00
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
717/
Date Officer
VOUCHER 092271, ;.WARRANT ALLOWED
358338 IN SUM OF
RUMFORD INDUSTRIAL GROUP
PO BOX 752288
DAYTON, OHIO 45475
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
r
Q�I 60297 01- 6200 -04 $800.00
V
60297 01- 6200 -04 $40.00
Voucher Total $840.00
Cost distribution ledger classification if
claim paid under vehicle highway fund