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212233 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 355684 Page 1 of 1 0 ONE CIVIC SQUARE HARRIMAN MATERIAL HANDLING CARMEL, INDIANA 46032 P O BOX 357 CHECK AMOUNT: $496.35 MORRISTOWN IN 46161 CHECK NUMBER: 212233 CHECK DATE: 8128/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 12-25286 496 . 35 OTHER EXPENSES ONVOICE Invoice Number: 12-25286 Harriman Material Handling Invoice Date: Jul 31, 2012 P.O. Box 357 Page: 1 Morristown, IN. 46161 n ,g�"' gr rya- °'. '. CITY OF CARMEL WWTP CITY OF CARMEL WWTP 9609 HAZEL DELL PARKWAY Jeff Cooper INDIANAPOLIS, IN 46280 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 t Ccistomer ID - Custo'mer5P0°' ����fv A<��� Pa ment Terms � ,�, ry ..,.h, CITY OF CARMEL - Jeff Cooper _ _ __ Net 30 Days ar r a , ,Sa'IesRep x„oA � �rm ShipV!a :.. k � Due$Da.te ., 8/30/12 .} ^_ Price ;> ' � Amounf, QuantitDescription a.. Y�5'm ”" 1 �'ra , w, �a _.„.,. �:& J r +�a SERVICE CALL Reinstall chain in hoist. Switched wires to limit switches. Operations i checked and set limit switches. CM Hoist Model H, S/N: L-283-AC. Completed•5/10/12. - 3.00 Labor Hours 80.00 240.00 ..1.00. Perishables _ 5.90 5.90 161.00 Mileage 1.45 233.45 1.00 Fuel Surcharge 17.00 17.00 I Subtotal 496.35 We Accept Visa, Mastercard, Discover and American Express Sales Tax At in ancechargewill apply to all Credit Card payments Total Invoice Amount 496.35 ' The seller retains Hato al materials and propertyuntl payment has been made in full. Minimum Payment/Credit Applied '1 1/2%Service Charge per month on unpaid balance i riot paid is30days. Customer agrees to b( liable s nl reasonable attorney cost of collection in e b de aultonthepaymetof theamountpecified. ltisagreedtheSeler shall not TOTAL 1 496 356 insured loss. - ��.a 1�our source for mate? a zanXing equ�ent since Ig63! Phone: 765-763-8985 Fax: 765-763-8986 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 355684 HARRIMAN MATERIAL HANDLING Purchase Order No. P O BOX 208 Terms MANILLA, IN 46150 Due Date 8/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/20/2012 12-25286 $496.35 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 # 125503 WARRANT # ALLOWED 355684 IN SUM OF $ HARRIMAN MATERIAL HANDLING P O BOX 208 MANILLA, IN 46150 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 12-25286 01-7362-06 $496.35 Voucher Total $496.35 Cost distribution ledger classification if claim paid under vehicle highway fund