HomeMy WebLinkAbout211721 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 360834 Page 1 of 1
ONE CIVIC SQUARE FARMTEK CHECK AMOUNT: $645.63
CARMEL, INDIANA 46032 1395 JOHN FITCH BLVD
SOUTH WINDSOR CT 06074-1001 CHECK NUMBER: 211721
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5210220-01 645 . 63 OTHER EXPENSES
INVOICE NUMBER: 5210220-01
1395 John Fitch Blvd. ORDER NO
South Windsor, CT 06074 ORDER'DATE PAGE N0.'
apmTe Fke
Phone: 800 327-6835 5210220 7/31/12 1
Fax: 800 457-8887
SHIP:VIA
www.FarmTek.com Invoice DOHRN
xx: i :.::PURCHASE: ..?i
.::::::::PAYMENT.INFORMATION'.....,..,.",.,,.,.,SHI P;REF i :?ISAEESPERSON :O RDER NO
5628538 JSCHNE S13183 1NT
COL PPD SHIPDATE ORDER'ORIG PAYMENT TERMS'
1 PHONE ORDERS 1XI 7/31/12 NET 20 DAYS
CusTNO. 5628538 Invoice Printed 7/31/12
SOLD SHIP
TO TO
JEFF COOPER
JEFF COOPER
CARMEL WASTE WATER TREATMENT
CARMEL WASTE WATER TREATMENT
9609 HAZEL DELL PKWY
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280-2935
INDIANAPOLIS IN 46280-2935
13ACK<ORDERED UNIT:RRICE -:.�> :::AMOUNT.:(USD)
1 EA 1 CF1774 FAN 36" EXH W/PLASTIC SHUTR 1 SPEED
579 . 00 579 . 00
Thank you for your order!
Merchandise 579 . 00 Miscellaneous . 00
Discount 35 . 00 Sales Tax . 00
Shipping/Handling 101 . 63 Total (USD) 645 . 63
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
360834
FARMTEK Purchase Order No.
1395 JOHN FITCH BLVD Terms
SOUTH WINDSOR, CT 06074 Due Date 8/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/2012 5210220-01 $645.63
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 # 125464 WARRANT # ALLOWED
360834 IN SUM OF $
FARMTEK
1395 JOHN FITCH BLVD
SOUTH WINDSOR, CT 06074
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
P�
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5210220-01 01-7202-06 $645.63
Voucher Total $645.63
Cost distribution ledger classification if
claim paid under vehicle highway fund