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175172 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 360767 Page 1 of 1 ONE CIVIC SQUARE TERMINAL SUPPLY CO CARMEL, INDIANA 46032 PO BOX 1253 CHECK AMOUNT: $82.69 TROY MI 48099 CHECK NUMBER: 175172 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 81645 25.40 REPAIR PARTS 1120 4237000 82203 159.65 REPAIR PARTS 1120 4237000 9996065 102.36 REPAIR PARTS R CREDIT MEMO TERMINAL SUUPPUY CO. PAGE 1 ISO 9002 Certified 1800 THUNDERBIRD REMIT TO: 8 TROY MICHIGAN 48084 TERMINAL SUPPLY CO. 0 0 P.O. BOX 1253 (248) 362 -0790 (800) 989 -9632 TROY 'M1 48099 w FAX (248) 362 -0824 s s O H L 13222 1 D CARMEL! FIRE DEPT P SAME T 2 CIVIC SQUARE T O O CARMEL IN 46032 DATE :TSCORDER F..O.B., CUSTiOMER'P,O. :NO: ,�=CREDITMEMO# 6/16/09 925906 SHIPPING POINT 1903 9906066 INVOICE NO. SHIPPED VIA R.M.A. NO. TERMS ACCOUNT NO. SLSM NET 30 DAYS e e 9 �a 12 MA °.L2VPG MARINE GRADE—PLUG S. 53EA 102, 36 PER INVOICE 7.4512 --00 SALES TAX FREIGHT D TQTAB .00 .00 102.36 THANK YOU c° DID® 1032, 3#; 1800 THUNDERBIRD I N VOIC E O TROY, MICHIGAN 480$4 PAGE 1 Scnce 1966 (248) 362 -0790 (800) 989 -9632 FAX (248) 362 -0824 REMIT TO: I' `�UpPLY C.42111 www.TerminalSupplyCo.com TERMINAL SUPPLY CO. P.O. BOX 1253 15965 TROY, MI 48099 S 13ZZZ S 13ZZ2 CARMEL FIRE DEPT H L CARMEL FIRE DEPT D 2 CIVIC SQUARE P Z CIVIC SQUARE T T O CARMEL IN 46032 0 CARMEL IN 86032 F I DATE TSC ORDER.NO. F.O.B. CUSTOMER P.O. NO: .INVOICE NO. 7 935861 SHIPPING POINT Bt�B 8ZZO3 -00_ DATE SHIPPED SH'I'PPED VIA TERMS ACCOUNT NO. SLSM r'f I. 7106109 SALESMAN NET 30 DAYS LV 13 Z 019 QUANTITY UNIT PRICE EXTENSION DESCRIPTION 50 50 TRMP —BLK CABLE TIE MOUNTING BASE 32.001 C 16.00 6 6 TE —Z TERMINAL BLOCK 6,93/EA 41.58 4 4 MA -1ZVRC MARINE GRADE— RECEPTACLE 12.77 /EA 51.013 100 100 STC —B SHRINK BUTT CONNECTOR 50.39/ C 50.99 We certify that these goods were produced in compliance with all applicable re- SALES TAX FREIGHT quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB of Regulations and orders of the United States Department of Labor issued under f10 O0 TOTAL 15S 6S Section 14 thereof. All material on this invoice is on consignment until invoice is paid in full. A re- stocking charge may apply. ORIGINAL INVOICE ISO 9002 Certified THANK YOU A M °UNT 1 I REV. 7/2003 DUE PLEASE PAY LAST AMOUNT IN THIS COLUMN 1 1800 THUNDERBIRD IN TROY, MICHIGAN 48084 SS#493 313 PAGE 0 1 Since 1966 (248) 362 -0790 (800) 989 -9632 FAX (248) 362 -0824 REMI T TO: `sZ-�PpY.Y www.TerminalSupplyCo.com TERMINAL SUPPLY CO. P.O. BOX 1253 2540 TROY, MI 48099 O I32ZZ S 13222 L CARMEL FIRE DEPT H CARMEL FIRE DEFT D 7 CIVIC SQUARE P 2 CIVIC SQUARE T T O CARMEL IN 4503Z O CARMEL IN 46032 DATE TSC ORDER NO. F.O.B. CUSTOMER P O.' NO. INVOICE NO. 7/01/09 93506Z SKIPPING POINT B OB 81Ia45 -OCf DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM 7/01/09 SALESMAN NET 30 DAYS LVW 1.3222 013 Q 1 LME1 1Z LARGE METAL 'STORAGE BOX Z5.401EA 25.40 We certify that these goods were produced in compliance with all applicable re- SALES TAX `FREIGHT quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB of Regulations and orders of the United States Department of Labor issued under 00 f)O TOTALI ?S.0 Section 14 thereof. All material on this invoice is on consignment until invoice is paid in full. A re- stocking charge may apply. ORIGINAL INVOICE ISO 9002 Certified THANK YOU AMO DUE 25. REV. 7!2003 PLEASE PAY LAST AMOUNT IN THIS COLUMN Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER s 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9996065 ($102.36) 81645 $25.40 82203 $159.65 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. VIARRANT NO. ALLOWED 20 Terr*nal Supply IN SUM OF P.O. Box 1253 Troy, MI 48099 $82.69 ON ACCOUNT OF APPROPRIATION FOR Carmel, Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 9996065 42- 370.00 ($102.36) 1 hereby certify that the attached invoice(s), or 1120 81645 42- 370.00 $25.40 bills) is (are) true and correct and that the 1120 82203 42- 370.00 $159.65 materials or services itemized thereon for which charge is made were ordered and received except JUL 2 0 ?nng Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund