HomeMy WebLinkAbout212983 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355155 Page 1 of 1
`. ONE CIVIC SQUARE ENGINEERED AIR
CARMEL, INDIANA 46032 PO BOX 801618 CHECK AMOUNT: $36.12
KANSAS CITY MO 64108-1618 CHECK NUMBER: 212983
CHECK DATE: 9/2512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 DS116543 36 . 12 OTHER EXPENSES
INVOICE NUMBER
En ENGINEERED AIR DS1 16543
o
INVOICE DATE PAGE
DIVISION OF AIRTEX MANUFACTURING INC.
32050 WEST 83rd STREET, DESOTO,KANSAS 66018 08/08/2012 1
PHONE:(913)583-3181 FAX:(913)583-1406 EMAIL:accounting.desoto@engineeredair.com
REMIT TO: DIV M
ENGINEERED AIR JOB#:
c/o COMMERCE BANK MFG#:
P.O. BOX 801618
KANSAS CITY, MO 64180-1618
S CITY OF CARMEL S CITY OF CARMEL
0 3450 W 131 ST ST H 5484 E 126TH ST
L WESTFIELD, IN 46074 P CARMEL, IN 46033
T T
0 O
CUSTOMER: 102401 TERRITORY: 712 ShipperlD: S117127 alesperson: Richard Ramsburg
(Returns 7-p ut prior authorization and subject to a 25%charge.
R" — -SHIP-DATE--- -SHIP VIA 08/08/2012 UPS GROUND
DESCRIPTION AMOUNT
ISEN3892 Gasket Extruded EDPM .620 x .500 x 500ft spools (e Profile) 21.12
1 AD0084 Adhesive 3M Scotch Grip Ind -5oz. #4799 0.00
FREIGHT 15.00
SALES TOTAL BEFORE TAX 36.12
Sales Tax 0.00
INVOICE TOTAL $36.12
No Statement issued-Pay on Invoice
NET 10 DAYS
SERVICE CHARGE OF 1.5%PER MONTH(18%PER ANNUM)ON OVERDUE ACCOUNTS
VOUCHER # 125726 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
DS116543 01-7202-06 $36.12
Voucher Total $36.12
Cost distribution ledger classification if
claim paid under 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 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 9/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2012 DS116543 $36.12
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