HomeMy WebLinkAbout212568 09/12/2012 a CITY OF CARMEL, INDIANA VENDOR: 355155 Page 1 of 1
ONE CIVIC SQUARE ENGINEERED AIR
CARMEL, INDIANA 46032 PO BOX 801618 CHECK AMOUNT: $3,812.00
KANSAS CITY MO 64108-1618
CHECK NUMBER: 212568
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 DS116621 3 , 812 . 00 OTHER EXPENSES
11 ENGINEERED AI INVOICE NUMBER DS1 16621
INVOICE DATE PAGE
DIVISION OF AIRTEX MANUFACTURING INC.
32050 WEST 83rd STREET, DESOTO, KANSAS 66018 08/23/2012 1
PHONE:(913)583-3181 FAX:(913)583-1406 EMAIL:accounting.desoto @engineeredair.com
REMIT TO: DIV#:
ENGINEERED AIR JOB#:
c/o COMMERCE BANK MFG#:
P.O. BOX 801618
KANSAS CITY, MO 64180-1618
S CARMEL WASTEWATER UTILITIES S CARMEL WWTP
0 9609 HAZEL DELL PARKWAY H 9609 HAZEL DELL PARKWAY
L INDIANAPOLIS, IN 46280 P INDIANAPOLIS, IN 46280
T T
0 O
CUSTOMER:105302TERRITORY: 799 ShipperlD: S117215 alesperson: Richard Ramsburg
Returns are not accepted without prior authorization and subject to a 25%charge.
YOUR ORDER NUMBER — "SHIP DATE SHIP VIA F.O.B.
S13219 08/23/2012 UPS GROUND
SHIP QTY DESCRIPTION AMOUNT
24 120800 Plate Corona 5x7x.040 (S12000) c/vv Wire Screen 3,792.00
FREIGHT 20.00
SALES TOTAL BEFORE TAX 3,812.00
Sales Tax 0.00
INVOICE TOTAL $3,812.00
No Statement issued-Pay on Invoice
NET 10 DAYS
SERVICE CHARGE OF 1.5%PER MONTH(18%PER ANNUM)ON OVERDUE ACCOUNTS
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
355155
Engineered Air Purchase Order No.
PO BOX 801618 Terms
Kansas City, MO 64180-1618 Due Date 9/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2012 DS116621 $3,812.00
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 # 125618 WARRANT # ALLOWED
355155 IN SUM OF $
Engineered Air
PO BOX 801618
Kansas City, MO 64180-1618
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
DS116621 01-7202-06 $3,812.00
Voucher Total $3,812.00
Cost distribution ledger classification if
claim paid under vehicle highway fund