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213434 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 357316 Page 1 of 1 ONE CIVIC SQUARE EASTERN ENGINEERING SUPPLY CARMEL, INDIANA 46032 9901 ALLISONVILLE ROAD CHECK AMOUNT: $49.50 FISHERS IN 46038 CHECK NUMBER: 213434 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 824075 49 . 50 OTHER EXPENSES 4,14 3573/10 ® EASTERN Page 1 Invoice Number 824075 lqqw Engineering Supply Invoice Date 9/21/2012 10:37:07AM R E P R O G R A P H I C S PO Number WASTE WATER Order Number 2810 North Wheeling Avenue, Muncie, IN 47303 765-284-3119 Customer 0000032840 9901 Allisonville Road, Fishers, IN 46038 317-598-0661 Apply To 1239 N. Wells Street, Fort Wayne, IN 46808 260-426-3119 Division 000002 Bill To: CARMEL UTILITIES Ship To: CARMEL UTILITIES WATER OPERATIONS WATER OPERATIONS 3450 W. 131 ST STREET 3450 W. 131 ST STREET CARMEL, IN 46074 CARMEL, IN 46074 (317) 733-2840 INVOICE Project: Ordered By: SUE MAKI Sales Rep: MIKE WORLEY-#12 Ship Via: 000001 Terms` Net 30 Days Num Num Qty/ Sq Sq Feet Orig Sets Prints Item Code Description UOM Feet Total Price Amount 1 1 1 701-1 1.7-6 MIL LAMIN GLOSS MATTESQFT 9 9 19.80 1 1 1 701-4 DRY MOUNT-FOAMCORE-3/16$QFT 9 9 29.70 \v. �r THANK YOU! EVA Ordered by: SUE MAKI Standard Terms are Net 30 Days. A monthly finance charge of 1%applies to all past due in Quotes valid 30 days unless otherwise specified. Sub-Total - - Discount Freight Sales Tax Deposit Recd Balance Due 49.50 49.50 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 357316 EASTERN ENGINEERING SUPPLY Purchase Order No. 9901 ALLISONVILLE ROAD Terms FISHERS, IN 46038 Due Date 10/2/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/2/2012 824075 $49.50 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5-11-10-1.6 1015-111- /YL- Date Officer VOUCHER # 125805 WARRANT # ALLOWED 357316 IN SUM OF $ EASTERN ENGINEERING SUPPLY 9901 ALLISONVILLE ROAD FISHERS, IN 46038 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 824075 01-7202-05 $49.50 Voucher Total $49.50 Cost distribution ledger classification if claim paid under vehicle highway fund