HomeMy WebLinkAbout210305 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 055000 Page 1 of 1
r ONE CIVIC SQUARE CERTIFIED LABORATORIES CHECK AMOUNT: $331.00
CARMEL, INDIANA 46032 23261 NETWORK PLACE
CHICAGO IL 60673 -1232 CHECK NUMBER: 210305
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4232100 751951 331.00 GARAGE MOTOR SUPPIE
YOU CAN RELY ON INVOICE Page: 1 of 1
CERTIFIED, ORIGINAL COPY Remittance Address
IMENEEMP
REORDERS CALL 1- 800 -527 -9929 CERTIFIED LABORATORIES
23261 NETWORK PLACE
CORRESPONDENCE TO FAX 1 -972- 438 -0634 CHICAGO, IL 60673 -1232
PO BOX 2493 W W W.CERTIFIEDLABS.COM
FT WORTH TX 76113 -2493
Sold To Ship To
Attn: DENISE SNYDER To Pay by EFT or
CITY OF CARMEL Direct Debit, Email
CITY OF CARMEL FIRE DEPT
FIRE DEPT 2 CIVIC SQUARE eac.credit @nch.com
2 CIVIC SQUARE CARMEL IN 46032
or call
CARMEL IN 46032
1 -800- 527 -9919 X0541
Customer No: Billing Date, Terms Due Date Ship Date Sales Or "der
432347 07- JUN -12 IONET 17- JUN -12 07- JUN -12 769200
lnvoice °No. AP,urchase Order N,—'- Sales Rep. No. Sales Rep`: Name 4
75 195 1 BOB /SHOP SUPPLIES USCL146T RORAUS. Mr...IORDAN A_
Product Qty OrBergd UescripGon Packaging QtyBill6d', .Un4 Price Amount;,
12025220 1 SO CLEAR, DZ, US MM DZ 1.00 142.00 142.00
10033234 1 DRI -LUBE PLUS AEROSOL, DZ. NAC CL DZ 1.00 169.00 169.00
10029922 1 AEROGUN AERO HANDLE EA 1.00 0.00 0.00
Merchandise State'rax Local rax F Shipping Splitlm Nu.st'Currencv ZbtalAmount,
311.00 0.00 0.00 20.00 USD 331.00
IN Tax ID 00035123 001 -3 Fed #_7 04572110.__
CERTIFIED LABORATORIES. DIVISION OF NCH CORPORATION. ALL RETURNS CLAIMS I-OR ERRORS, OR ADJUSTMENTS OF ANY KIND MUST BE
MADE W TTHIN l5 DAYS AFTER RECEIPT OF GOODS. MERCHANDISE NOT ACCEPTED FOR CREDIT WITHOUT OUR PRIOR WRITTEN CONSENT.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Certified Laboratories
IN SUM OF
P.O. Box 2493
Ft. Worth, TX 76113 -2493
$331.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 751951 I 42- 321.00 I $331.00 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
JUN 2`9.2012
e b
Fire Chief
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))
751951 $331.00
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