HomeMy WebLinkAbout209026 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM
CARMEL, INDIANA 46032 2045 S WABASH STREET CHECK AMOUNT: $48.00
WABASH IN 46992 CHECK NUMBER: 209026
CHECK DATE: 5122/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 IN00514118 48.00 REPAIR PARTS
AGRO CHEM, INC. Invoice Date Invoice
AGRO M 2045 S WABASH STREET 4/20/2012 IN005141 18
Q WABASH, IN 46992
Phone: 800 686 -5680
Fax: 888 281 -4321
www.agroehem.com
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
ONE CIVIC SQUARE 3400 WEST 131 STREET
CARMELJN 46032 CARMELJN 46032
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms Due Date
5 4/20/2012 DELIVER NET 30 DAYS 5/20/2012
Ordered Shipped B/O Item Code Description Price Each Amount
24 24 0 21319 DISPOSABLE CHEMICAL GLOVES 2.00 48.00
Total $48.00
VOUCHER NO. WARRANT NO.
Agro Chem Inc ALLOWED 20
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$48.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 IN00514118 I 42- 370.00 $48.00 1 hereby certify that the attached invoice(s), or
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
T rsd ay 17, 2012
Street Commissi Z r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 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))
04/20/12 IN00514118 $48.00
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