HomeMy WebLinkAbout207980 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL CO -OP
CARMEL, INDIANA 46032 16222 ALLISONVILLE ROAD CHECK AMOUNT: $71.25
NOBLESVILLE IN 46060
CHECK NUMBER: 207980
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0000009 71.25 OTHER EXPENSES
North Central
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260-563-8381 8OO�y23495 �ux2hO5V@ ]02l
PATRON
Hamilton Agronom ~K' n/ PAGE 1
16222 Allisonville Road` INVOICE INVOICE NO. 000009
Noblesville IN 46060 ORDER DATE 03/22/12
317-773-0870 ACCOUNT NO. 0000921776
BATCH 469 RKB
CARMEL SEWER DEPT.
760 THIRD AVE. SW'
CARMEL IN 46032
P.O.# SHIP DATE TERMS SLS LOC
03/22/12 Due 04/20/2012 RKB 251
PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
186530 BUCCANEER PLUS (BULK) 2.5000 GAL 28.5000 71.25
TOTAL DUE 71.25
EMAR 2 ZG 2
i/
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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
366089
NORTH CENTRAL COOP Purchase Order No.
16222 ALLISONVILLE ROAD Terms
NOBLESVILLE, IN 46060 Due Date 4/2/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2012 9 $71.25
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 117055 WARRANT ALLOWED
366089 IN SUM OF
NORTH CENTRAL COOP
16222 ALLISONVILLE ROAD
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9 01- 7202 -05 $71.25
Voucher Total $71.25
Cost distribution ledger classification if
claim paid under vehicle highway fund