HomeMy WebLinkAbout211231 07/31/2012 a ,\,f CITY OF CARMEL, INDIANA VENDOR: 00352276 Page 1 of 1
=sq� ONE CIVIC SQUARE BREAKERS UNLIMITED
.i CARMEL, INDIANA 46032 15241 STONY CREEK WAY CHECK AMOUNT: $903.90
NOBLESVILLE IN 46060 CHECK NUMBER: 211231
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 110532401 903 . 90 OTHER EXPENSES
BREAKERS 15241 Stony Creek Way
Noblesville, IN 46060
UNLIMITED Office 317 776.8817
Fax 317 1 773.9867
One Call. In Stock. Right Now breakersunlimited.com
CUSTOMER CODE TR/ INVOICE NUMBER
CAR700 L� 110532401 --�
317 571 2634
O BILL CARMEL WASTEWATER UTILITIES SHIP CARMEL WWTP
40 TO: TO:
+, 760 THIRD AVE SW SUITE 110 9609 HAZEL DELL PRKWY
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YSHIP I TR/INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O.NUMBER DATE
L _ 1105324-01 100 07/18/12 101 S13166 07/18/12 N 3
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O ORDERED B.O.I RET. SHIPPED DISP. ITEM CODE AND DESCRIPTION UIM UNIT PRICE AMOUNT Q X
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= 2 2 BU9998-SL7 EA 208 . 1.5 416.30 ~'
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THANK YOU FOR YOUR PURCHASE
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*** THIS IS YOUR INVOICE *** SUBTOTAL 903. 90 g
MISC.CHARGE
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FREIGHT IN FREIGHT OUT TELE.CHARGE Q
0.0 0 0.00 FREIGHT TOTAL 0. 00
FEDJOTHER TAX
NET TERMS: INV 30 DUE: 08/17/12 STATE TAX
*** ORDER COMPLETED *** PAYMENT RECD. 0. 00
Please Remit Payment To: Breakers Unlimited TOTAL AMT DUE
15241 Stony Creek Way 903. 90
Noblesville, IN 46060
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
352276
BREAKERS UNLIMITED Purchase Order No.
15241 Stony Creek Way Terms
Noblesville, IN 46060 Due Date 7/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2012 110532401 $903.90
I 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
Date Officer
VOUCHER # 125404 WARRANT # ALLOWED
352276 IN SUM OF $
BREAKERS UNLIMITED
15241 Stony Creek Way
Noblesville, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
110532401 01-7262-06 $903.90
(
Voucher Total $903.90
Cost distribution ledger classification if
claim paid under vehicle highway fund