HomeMy WebLinkAbout180533 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351427 Page 1 of 1
ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS
CHECK AMOUNT: $695.11
CARMEL, INDIANA 46032 PO BOX 74189
CLEVELAND OH 44194 CHECK NUMBER: 180533
CHECK DATE: 12/1612009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
651 5023990 511607 94433193 695.11 HAND SANITIZER
Invoice PAGE: 1
m world Headquarters l `P 0aaui o t:YJd 7 :17 =[?oci ci3 n ?Dai Dir aLg:
�t8t® 3100 Hamilton Avenue 94433193 12/03/2009 1211812009
Cleveland, Ohio 44114
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804- 782 -2436 If you would like to receive your invoice via tax, please
State Chemical is a Division of State Industrial Products contact our Customer Service Department.
Your Fax number on file is: 317- 571 -2265
Our Customer Service Phone number is: 1- 800 782 -2436
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-customer No.: 490452
CARMEL SEWER DEPARTMEN CARMEL SEWER DEPT
ATTN: ACCOUNTS PAYABLE
.760 3RD AVENUE SW STE #110 901 N RANGELINE RD 1909091
130 1400t
CARMEL IN 46032 CARMEL, IN 46032 GMISAI Glah.1
Customer P.O.: paul arnone Sales Order: 3636996 Delivery: 800344898
Your Account Manager: 90148622 MICHAEL WELSH I Taxable: N
n fir::...... F.
t 14Qi >fJeSC'r.i "fion e:•:•:•:•:•::•:: >:?i e::::::::
0 3 3 S 114898 ENTEE FRESH HAND SANITIZER 1.702 C s24 221.000 663.00
0 1 1 S 114898 G ENTLE FRESH HAND SANITIZER 1.70Z CS24 0.00 0.00
1. IMPORTANT: Please return remittance portion
of invoice with your payment. To assure proper
credit to your account, ALWAYS include your Net Sales Sljippin &P oeesslr Stiles Tax TOTAI
customer number, invoice number, and amount 663,00 32.11 0.00 695.11
paid with your remittance.
2. All shipments FOB nearest warehouse.
3. Claims for shortage or damaged goods must be We hereby certify that these goods were produced in compliance with
made within 5 days after receipt of goods. all applicable requirements of Section 6, 7 and 12 of the Fair Labor
4. No returns without written authorization. Standards Act as amended, and of regulations and orders of the United
5. If you have any questions regarding this States Department of Labor issued under Section 14 thereof.
invoice please contact us at 1- 800 -782 -2436.
PAY NO MONEY TO AGENTS FOR CHEMICAL EMERGENCY SPILL,
LEAK, FIRE, EXPOSURE OR ACCIDENT
FED. TAX C.D. NO. All tax exempt customers CALL CHEMTREC DAY OR NIGHT
34- 0552740 must submit tax exempt (800) 424 -9300
certificate with payment.
I
VOUCHER 096914 WARRANT ALLOWED
351427 IN SUM OF
STATE INDUSTRIAL PRODUCTS /US E
P.O. BOX 74189
CLEVELAND, OH 44194
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
94433193 01- 7200 -02 $695.11
1�
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rrll 1
V�
Voucher Total $695.11
Cost distribution ledger classification if
claim paid under vehicle highway fund
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i
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
351427
STATE INDUSTRIAL PRODUCTS /US ENGINEE Purchase Order No.
P.O. BOX 74189 Terms
CLEVELAND, OH 44194 Due Date 12/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2009 94433193 $695.11
it
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
Date Officer