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207502 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 357911 Page 1 of 1 ONE CIVIC SQUARE INDUSTRIAL HYDRAULICS INC CHECK AMOUNT: $434.46 CARMEL, INDIANA 46032 1005 WESTERN DRIVE INDIANAPOLIS IN 46241 CHECK NUMBER: 207502 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI 651 5023990 364007IN 434.46 MATERIALS SUPPLIES Invoice Page: 1 1 Industrial Hydraulics, Inc. INVOICE NUMBER: INVOICE DATE: 1005 Western Drive 0364007 -1N 3/13/2012 Indianapolis, IN 46241 (317) 247 -4421 TERMS: NET 30 DISC DATE DUE DATE 3/13/2012 4/12/2012 ORDER DATE SHIP DATE BILL TO: CARMEL UTILITIES 3/12/2012 3/12/2012 WATER WASTEWATER 760 THIRD AVE SW, SUITE 110 CUSTOMER P.O.: S13046 CARMEL, IN 46032 SHIP VIA CUSTOMER SALESPERSON: IHI SHIP TO: CARMEL UTILITIES WATER WASTEWATER PLEASE PAY FROM THIS INVOICE ORDER NUMBER: 9609 HAZEL DELI, PARKWAY 0052580 INDIANAPOLIS, IN 46280 ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT 311365 EACH 4.00 4.00 0.00 103.74 414.96 FILTER 4061 THANK YOU Net Invoice: 414.96 Remit To INDUSTRIAL HYDRAULICS, INC. Less Discount: 0.00 1005 WESTERN DRIVE We hereby certify that these goods were produced in compliance INDIANAPOLIS, IN 46241 Freight: 19.50 with all applicable requirements of Section 6, 7 and 12 of the Fair Labor Standards Act Sales Tax: 0.00 as amended, and of regulations and orders of the United States Department OCLabor RETURNED MATERIAL SUBJECT TO HANDLING CHARGE issued under Section 14 thereof. MATERIAL CANNOT BE RETURNED WITHOUT AUTHORIZATION Invoice Total: 434.46 1 1/2% MONTHLY SERVICE CHARGE ADDED ON ALL PAST DUE INVOICES 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 357911 INDUSTRIAL HYDRAULICS INC Purchase Order No. 1005 WESTERN DRIVE Terms INDIANAPOLIS, IN 46241 Due Date 3/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/2012 3640071 N $434.46 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 Date Officer VOUCHER 117003 WARRANT ALLOWED 357911 IN SUM OF INDUSTRIAL HYDRAULICS INC 1005 WESTERN DRIVE INDIANAPOLIS, IN 46241 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 364007IN 01- 7202 -06 $434.46 Voucher Total $434.46 Cost distribution ledger classification if claim paid under vehicle highway fund