HomeMy WebLinkAbout208474 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00351427 Page 1 of 1
ONE CIVIC SQUARE STATE INDUSTRIAL PRODUCTS CHECK AMOUNT: $1,006.97
CARMEL, INDIANA 46032 PO BOX 74189
CLEVELAND OH 44194 CHECK NUMBER: 208474
CHECK DATE: 4/2512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 95613565 1,006.97 OTHER EXPENSES
Invoice PAGE: 1
World Headquarters
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3100 Hamilton Avenue 95613565 04/04/2012 04/1912012
slaea 1911 Cleveland, Ohio 44114 If you would like to receive your invoice via fax, please
800- 782 -2436 contact our Customer Service Department.
State Chemical Is a Division of State Industrial Products Your Fax number on file is: 317- 571 -2265
Our Customer Service Phone number is: 1- 800 782 -2436
19390095. 29203- USAS_C *100 2 019 3 7 5.0374.6x9 1/1 II'III�II�� Shi -To No.: 518113
Customer No.: 490452
CARMEL SEWER DEPARTMEN CARMEL SEWER DEPT
ATTN: ACCOUNTS PAYABLE FA
760 3RD AVENUE SW STE #110 901 N RANGELINE RD IS09001
CARMEL IN 46032 CARMEL, IN 46032 GMISAI Global
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Customer P.O.: oaul Sales Order: 4388303 Delivery: 801205518
Your Account Manager: 90148622 MICHAEL WELSH Taxable: N
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:4.. C 103665 2417 D -STROY D51D19 227.000 908.00
1. IMPORTANT: Please return remittance portion
of invoice with your payment. To assure proper
our account, ALWAYS include our
Y Y Net...S.ales Stii ing &Pror;essin Sages
credit to TOTAL::
customer number, invoice number, and amount
paid with your remittance. 908.00 98.97 0.00 1,006.97
2. All shipments FOB nearest warehouse.
3. Claims for shortage or damaged goods must be We hereby certify that these goods were produced in compliance with
made within 5 days after receipt of goods. all applicable requirements of Section 6, 7 and 12 of the Fair Labor
4. No returns without written authorization. Standards Act as amended, and of regulations and orders of the United
5. If you have any questions regarding this States Department of Labor issued under Section 14 thereof.
invoice please contact us at 1- 800 782 -2436.
PAY NO MONEY TO AGENTS FOR CHEMICAL EMERGENCY SPILL,
LEAK, FIRE, EXPOSURE OR ACCIDENT
FED. TAX I.D. NO. All tax exempt customers CALL CHEMTREC DAY OR NIGHT
34- 0552740 must submit tax exempt (800) 424 -9300
certificate with payment.
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
351427
STATE INDUSTRIAL PRODUCTS /US ENGINEE Purchase Order No.
P.O. BOX 74189 Terms
CLEVELAND, OH 44194 Due Date 4/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2012 95613565 $1,006.97
I 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 i cer
VOUCHER 117143 WARRANT ALLOWED
351427 IN SUM OF
STATE INDUSTRIAL PRODUCTS /US E
P.O. BOX 74189
CLEVELAND, OH 44194
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
95613565 01- 7200 -02 $1,006.97
Voucher Total $1,006.97
Cost distribution ledger classification if
claim paid under vehicle highway fund