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176853 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 00352503 Page 1 of 1 ONE CIVIC SQUARE MIDLAND ELECTRIC SUPPLY INC CHECK AMOUNT: $137.77 CARMEL, INDIANA 46032 5818 MASSACHUSETTS AVE INDIANAPOLIS IN 46218 CHECK NUMBER: 176853 CHECK DATE: 9/2/2009 DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIP 651 5023990 378737 137.77 MATERIALS SUPPLIES MIDLAND ELECTRIC SUPPLY, INC. INVOICE 5818 MASSACHUSETTS AVENUE INDIANAPOLIS, IN 46218 -2567 Invoice Number: 37837 Invoice Date: Aug 25, 2009 Page: 1 Voice: (317) 542 -1096 Fax: (317) 549 -0645 hftp://www.midiandelectricsupply.com CARMEL W.W.T.P. CARMEL W.W.T.P. ACCOUNTS PAYABLE 9609 HAZEL DELL PARKWAY 750 THIRD AVENUE SW INDIANAPOLIS, IN 46280 CARMEL, IN 46032 USA hCus#nmer IDS Cus omer 1aO: M.• ry ayment 1"erms. <.�:at�az. .,..a.. �?�.`.a.,., ,a. ,.:.y, a. ��a: 'a, „s:. ,r .....ate` ...a� .n..a• k� CAR528 LARRY 1 10, Net 30 Days Z� ©ate Sates Re [D Stt� Ong Methotl.. Ship Date Due J WILL CALL 8/25/09 9/24109 i a na icy Llnit�Pr�ce Amount 1.00 48ATC3S00 SIEMENS OL RELAY 3 -12A SS 137.77 137.77 REF SO 80647 YOU MAY DEDUCT $1.38 DISCOUNT ONLY IF PAYMENT IS RECEIVED NO LATER THAN 9/4/09. Subtotal 137.77 Sales Tax F re ig ht Total Invoice Amount 137.77 Check /Credit Memo No: Payment /Credit Applied 77 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 352503 MIDLAND ELECTRIC SUPPLY INC Purchase Order No. 5818 Massachusetts Avenue Terms Indianapolis, IN 46218 Due Date 8/28/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/28/2009 378737 $137.77 Q hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance B with IC 5- 11- 10 -1.6 re f Date Officer VOUCHER 096319 WARRANT ALLOWED 352503 IN SUM OF MIDLAND ELECTRIC SUPPLY INC 5818 Massachusetts Avenue Indianapolis, IN 46218 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO INV ACCT AMOUNT Audit Trail Code 378737 01- 7202 -05 $137.77 Voucher Total $137.77 Cost distribution ledger classification if claim paid under vehicle highway fund