HomeMy WebLinkAbout209326 05/22/2012 a �u� CITY OF CARMEL, INDIANA VENDOR: 00353191 Page 1 of 1
ONE CIVIC SQUARE ROAD SOLUTIONS INC
s CHECK AMOUNT: $494.17
CARMEL, INDIANA 46032 PO BOX 42387
.o� INDIANAPOLIS IN 46242 -0387 CHECK NUMBER: 209326
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236500 5616 -IN 494.17 SALT CALCIUM
NVOICE ROA ROAD SOLUTIONS, INC.
SOLUtIONS 5616 Progress Road P. O. Box 42387 Indianapolis, IN 46242 -0387
Phone 317 243 3248 Fax 317 244 -8461 Toll Free 888 888 -3615
BILL NO. 9803100 SHIP NO.
SOLD SH I P
TO F—cARMEL STREET DEPARTMENT TO CARMEL STREET DEPARTMENT
3400 W. 131ST STREET 3400 W. 131ST STREET
WESTFIELD IN 46074 ATTN: DAVE H.
WESTFIELD IN 46074
DATE CUST. P.O. NO. TERR. SHIPPED VIA TRANS NO. INVOICE NO.
05/16/12 DAVE H. 9800 0004782 0005616 —IN
QUANTITY
ORDERED SHIPPED BACK ORD. UM PRODUCT NO. DESCRIPTION PRICE TOTAL
1 1 Pl. 1267 -00` RC I —425 8 1 LAWL PENETRTN 362.7 5 X62. 75
1 1
PL. 1268 -60: SALT AWAY`PLUS 9?.50 92.50
TERMS: TAX FREIGHT TOTAL
NET 15 DA's S iii 8 .92 494.17
ORIGINAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
Road Solutions
IN SUM OF
P. O. Box 42387
Indianapolis, IN 46242 -0387
$494.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
2201 I 0005616 -IN I 42- 365.001 $494.17 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
Fridayl Mby 18, 2012
Street Commissioner
J
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))
05/16/12 0005616 -IN $494.17
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