HomeMy WebLinkAbout173550 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00351427 Page 1 of 1
ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,037.97
PO BOX 74189
off `a CLEVELAND OH 44194 CHECK NUMBER: 173550
CHECK DATE: 6/1012009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 94192209 208.62 OTHER MAINT SUPPLIES
651 5023990 94198724 829.35 OTHER EXPENSES
r
T Invoice PAGE: 1
m World Headquarters i E3cirikia :A)o' :2lGcuiiiE: i�JaT:: :`iis
3100 Hamilton Avenue 94198724 05/27/2009 06/11/2009
Cleveland, Ohio 44114 If you would like to receive your invoice via fax, please
800 782 -2436 contact our Customer Service Department.
State Chemical Is a Division of State Industrial Products Your Fax number on file is: 317 -571 -2265
Our Customer Service Phone number is: 1- 800 782 -2436
l I E
SHIP TO:
IIIIIII�II�Ikll ll ill
16845185 -0.357 111 Ship -To No.: 518113 e
customer No.: 490452'
CARMEL SEWER DEPARTMEN CARMEL SEWER DEPT a¢psrrxrto
ATTN: ACCOUNTS PAYABLE
760 3RD AVENUE SW STE #110 901 N RANGELINE RD 1809001:20001
CARMEL IN 46032 CARMEL, IN 46032 Iso14mll
Certified
Customer P.O.: PAUL ARNONE Sales Order: 3460860 Delivery: 800141688
Your Account Manager: 90148622 MICHAEL WELSH I Taxable: N
i UI I#C::::: i i i iE?tf f)k::::•'
P
t M.::= i f31?s ion ::i::::::::::: >i i< i:> e:
Y...... tl'::•..�:�...
...•...�G-
0 2 417 D-STROY 136fD19 208.000
0 1 1 3C 103665 2 417 D -STROP D61D19 0.00 0.00
0 1 1 S 54050 J ONADE BLUE 5 OZ BLOCK EAl2 111.000 111.00
1. IMPORTANT: Please return remittance portion
of invoice with your payment. To assure proper
credit to your account, ALWAYS include your Net .Sal si Shi n e Sales Tax T.QTAk::
customer number, invoice number, and amount
paid with your remittance. 1 735.00 94.35 0.00 829.35
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 I.D. NO.
All tax exempt customers CALL CHEMTREC DAY OR NIGHT
34- 0552740 must submit tax exempt (800) 424 -9300
certificate with payment.
VOUCHER 095753 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
94198724 01- 7200 -02 $829.35
If
Voucher Total $829.35
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 ENGINES Purchase Order No.
P.O. BOX 74189 Terms
CLEVELAND, OH 44194 Due Date 6!2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 94198724 $829.35
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
6 46�
Date Officer
In voke PAGE: 1
World Headquarters
3100 Hamilton Avenue 94192209 05/20/2009 06104/2009
Cleveland, Ohio 44114
800-782-2436 If you would like to receive your invoice via fax, please
State Chemical Is a Division of State Industrial Products contact our Customer Service Department.
Your Fax number on file is: 317 571 -2409
Our Customer Service Phone number is: 1- 800 782 -2436
IIIIIIIIIIIIIIIIIIIIII
16625061 -0.357 1/1 SHIP TO: �I
Customer No.: 21236 CITY OF CARMEL
CITY OF CARMEL CITY HALL FMGWU10
CITY HALL 1 CIVIC SQUARE
1 CIVIC SQUARE CARMEL, IN 46032 1809001:20001
CARMEL IN 46032 Is014001
Cerofied
Customer P.O.: JEFF BARNES Sales Order: 3456077 Delivery: 800136281
Your Account Manager: 90140005 CAROLYN ROWE (IS) I Taxable:
0 p� ..::..I d::.• hsp Unn:•:•::•;:•::•: xb
#Y::::: C#F: t;..::"::•::::::•::# EQFl1:.....•....•:•:•:•:•::..... :::::#7 r�Gf•. Eton::•::•.....::•:•::::: P�Ge•:•::•:•::•::• :•::•::;•�IGe
X...........
:.:.:4
0 1 1 S 104302 DUMP-STAR EAl2 191.000 191.00
T HAN OU FOR YOUR CRDER.
O REORDER CALL CAR LYN AT 1- 800 323 -4124 EXT 1101.
1. IMPORTANT: Please return remittance portion
of invoice with your payment. To assure proper
credit to our account ALWAYS include
Y Nis Saf if in' si. :G: <�ales :Taz::::? ::5: >T T`
customer number, invoice our
Y ice number, and amount t...,.e......S o.,S..n _.....,O..AL.......
paid with your remittance. 191.00 17.62 0.00 208.62
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 I.D. NO. All tax exempt customers CALL CHEMTREC DAY OR NIGHT
34- 0552740 must submit tax exempt (800) 424 -9300
certificate with payment.
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
State Industrial Products Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
208.2
Total
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 NO.
State Industrial Products ALLOWED 20
IN SUM OF
P.O, Box 74189
$208.62
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
Pots or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT_ n I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
120E 94192209 389 $208,62 materials or services itemized thereon for
which charge is made were ordered and
received except
20
fj\ ,Signat Lve
1 �v Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund