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176934 09/02/2009 CITY OF CARMEL, INDIANA VENDOR 362221 Page 1 of 1 ONE CIVIC SQUARE SILLWORKS CHECK AMOUNT: $249.20 o CARMEL, INDIANA 46032 5 -155 TERENCE MATTHEWS CRESCENT a� OTTAWA, ONTARIO K2M 2A8 CHECK NUMBER: 176934 CHECK DATE: 9/2/2009 DEPAR TMENT ACC OUNT PO NUMBER INV OICE NUMB AMOUNT DESCRIPTION T 651 5023990 OA42267 249.20 MATERIALS SUPPLIES ,i7 Sillworks PartsDirectm 5 -155 Terence Manht:,ws Crescent Ottawa, Ontario K2M 2A8 Invoice: 04A -42287 Invoice: 04A -42287 Customers Info Delivery Info Sold To: Carmel Wastewater Utilities Ship To: Carmel Wastewater Treatment Plan Jeff Cooper Jeff Cooper 760 Third Avenue S.W. Suite 110 9609 Hazel Dell Parkway Carmel, Indiana Indianapolis, Indiana 46032 46280 United States United States Phone: 317 571 -2634 ext 222 E -Mail: jcooper @carmel.in.goy_ Payment Information Payment Method: Net 30 Date Purchased: Tuesday, 4th August, 2009 Remit to: Sillworks 5 -155 Terence Matthews Crescent Ottawa, Ontario K2M 2A8 Phone: 613.599.1287 Qty. Products Tax Total 1 360205 -012 CPQ 72.8 -GB U320 10K (2Pack) 0% $249.20 Sub- Total: $249.20 Tax: $0.00 Total: $249.20 Comm P0# S11803, Monday, 10th August, 2009 Sillworks 5 -15S Terence Matthews Crescent Ottawa, Ontario K2M 2A8 (Tel) 613.599.1287 (Fax) 613.599.8120 www.sillworks.com 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 362221 SILLWORKS Purchase Order No. 5 -155 TERENCE MATTHEWS CRESCENT Terms OTTAWA, ONTARIO, K2M 2A8 Due Date 8/25/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/25/2009 04A42287 $24920 'tv 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 A V6ZA'-- Date Officer VOUCHER 096296 WARRANT ALLOWED 362221 IN SUM OF SILLWORKS 5 -155 TERENCE MATTHEWS CRESCE OTTAWA, ONTARIO, K2M 2A8 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 04A42287 01- 7202 -06 $249.20 3 J Voucher Total $249.20 Cost distribution ledger classification if claim paid under vehicle highway fund