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211044 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 282300 Page 1 of 1 0 ONE CIVIC SQUARE SHERWIN WILLIAMS INC CARMEL, INDIANA 46032 831 S RANGELINE ROAD CHECK AMOUNT: $56.75 `? CARMEL IN 46032 CHECK NUMBER: 211044 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236400 55267 45 . 87 PAINT 2201 4236400 55275 6 . 79 PAINT 2201 4236400 95366 4 . 09 PAINT THE SHERWIN-WILLIAMS CO. SHERWIN-WILLIAMS. 831 S RANGE LINE RD STE 1 CARMEL IN 46032 2539 d ,d Visit www.sherwin-williams.com CHARGE Store 1122 (317) 843-1088 INVOICE ACCOUNT.6640-6493-8 No. 5526-7 JOB 01 CARMEL`CITY OF PAGE 1 OF 1 PO#RANGELINE SHIPPED TO: ORDER:OE0158056QI122 DATE:0612812012 TIME.2:41 PM CARMEL`CITY OF 2-6458 1 CARMEL CIVIC SQ E34112099 CARMEL IN 46032 2584 DAVE HUFFMAN (317) 733- 2001 (317)571-2400 TERMS: NET PAYMENT DUE ON JULY 20TH SALES NUMBER SIZE PRODUCT DESCRIPTION QTY PRICE VALUE 6404-13423 GALLON K42T54 RES EXT FL ULTRA 1 45.87 45.87N COLOR:S W6258 TRICORN BLACK CCE COLOR CAST OZ 32 64 128 B1 BLACK 6 32 - 1 N1 RAW UMBER 2 30 1 - R2 MAROON - - 1 1 SHER-COLOR FORMULA NOT INTENDED FOR TRAFFIC USE Thank You SUBTOTAL 45.87 receipt required for refund NO TAX SALES TAX.-4-154603200 0.00 CHARGE $45.87 MERCHANDISE RECEIVED IN GOOD ORDER BY: SAM THE SHERWIN-WILLIAMS CO. I SHERWIN-WILLIAMS. 831 S RANGE LINE RD STE 1 CARMEL IN 46032 2539 , ,e Visit www.sherwin-williams.com CHARGE Store 1122 (317) 843-1088 INVOICE ACCOUNT:6640-6493-8 No. 5527-5 JOB 01 CARMEL'CITY OF PAGE 1 OF 1 PO#RANGELINE SHIPPED TO: DATE:0612812012 TIME:2:42 PM CARMEL'CITY OF 2-6458 1 CARMEL CIVIC SQ E34112099 CARMEL IN 46032 2584 DAVE HUFFMAN (317) 733-2001 (317) 571-2400 TERMS: NET PAYMENT DUE ON JULY 20TH SALES NUMBER SIZE PRODUCT DESCRIPTION QTY PRICE VALUE 180-4632 4 INCH 106440400 KWIK-RELEASE 4"FRM 1 6.79 6.79N Thank You SUBTOTAL 6.79 NO TAX receipt required for refund CHARGE SALES TAX:4-154603200 $6.79 MERCHANDISE RECEIVED IN GOOD ORDER BY: SAM THE SHERWIN-WILLIAMS CO. `K SHERWIN-WILLIAMS. 831 S RANGE LINE RD STE 1 CARMEL IN 46032 2539 ,d Visit www.sherwin-williams.com CHARGE Store 1122 (317) 843-1088 INVOICE ACCOUNT:6640-6493-8 NO, 9536-6 JOB 01 CARMEL*CITY OF PAGE 1 OF 1 PO# TENNANT SHIPPED TO: DATE:0612812012 TIME:8:23 AM CARMEL*CITY OF 2-6458 1 CARMEL CIVIC SQ E22113105 CARMEL IN 46032 2584 HARVEY KIRBY (317)571-2400 TERMS: NET PAYMENT DUE ON JULY 20TH SALES NUMBER SIZE PRODUCT DESCRIPTION QTY PRICE VALUE 106-0664 EACH CHEM SAFETY GOGGLES 1 4.09 4.09N MFG NBR:91252-8000S SUBTOTAL 4.09 receipt mired for refund 7.000%SALES TAX:1-154603200 0.00 P 4 CHARGE $4.09 MERCHANDISE RECEIVED IN GOOD ORDER BY. RICK ALDEN VOUCHER NO. WARRANT NO. ALLOWED 20 Sherwin Williams IN SUM OF $ 831 S. Rangeline Road Ste. 1 Carmel, IN 46032-2539 $56.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 55267 42-364.00 $45.87 1 hereby certify that the attached invoice(s), or 2201 55275 42-364.00 $6.79 bill(s) is (are)true and correct and that the 2201 95366 42-364.00 $4.09 materials or services itemized thereon for which charge is made were ordered and received except 4 Wednesday July 11, 2012 u6kh Street Commissioner r+.........n ni�nor 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)) 06/28/12 55267 $45.87 06/28/12 55275 $6.79 06/28/12 95366 $4.09 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