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177875 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362843 Page 1 of 1 ONE CIVIC SQUARE TRAFFIC LOGIX INC CARMEL, INDIANA 46032 3 HARRIET LANE CHECK AMOUNT: $552.00 SPRING VALLEY NY 10977 CHECK NUMBER: 177875 CHECK DATE: 9/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4462000 1 -12326 552.00 OTHER STRUCTURE IMPRO 1M Traffic Logix Inc. Invoice No. 3 Harriet Lane 1- 1 2326 Spring Valley, NY 10977 Phone:1- 866 -915 -6449 Fax: 1- 866- 99LOGIX Sep 11, 2009 rj 1 r www.trafficiogix.com Page 1 of 1 G.S.T No P.S.T No: J J INVOICE Sold To Ship To City of Carmel City of Carmel One Civic Square 3400 W. 131 st Street Carmel IN 46032 Westfield, IN 46074 US Phone: 317-571-2441 Fax: 317 -571 -2439 PST# Cust. PO No. Sales Order No. Terms 9 -4 -09 7914 1 10 Days, Net 30 Customer ID F. O.B. Ship VIA CAR015 LN Quantity Part# Description Unit. Unit Price Extended Ordered Shipped B10 1 600 600 0 23599 EA 0.92 552.00 Speed Hump Lagbolts Subtotal: $552.00 Freight: 1 52.00 USD Total: $704.00 CUSTOMER COPY Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER f 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 .O.Traffic Logix INC. Purchase Order No. k3 Harriet Lane Terms Spring Valley, NY 10977 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/11/09 1 -12326 Speed Hump supplies $552.00 Total 1 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. WARRANT NO. ALLOWED 20 Traffic Logix INC. IN SUM OF 3 Harriet Lane Spring Valley, NY 10977 $552.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT.. I hereby certify that the attached invoice(s), or nla 1 -12326 2200 8446200 $552.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 9`'LCS 'lJj� 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund