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214008 10/23/2012 «- CITY OF CARMEL, INDIANA VENDOR: 353909 Page 1 of 1 ` ONE CIVIC SQUARE MCMASTER CARR SUPPLY CO CARMEL, INDIANA 46032 P 0 BOX 7690 CHECK AMOUNT: $67.40 CHICAGO IL 60680 CHECK NUMBER: 214008 CHECK DATE: 10/2312012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 38987173 67 . 40 OTHER EXPENSES J MAASTERmCARR. Invoice 630-600-3600 630-834-9427(fax) chi.sales @mcmaster.com Purchase Order JEFF COOPER Tota 1 $67.40 Invoice 38987173 Billed to CITY OF CARMEL Invoice Date 10112/12 WASTE WATER TREATMENT PLANT Payment Terms 2% 10, Net 30 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 Deduct$1.26 on merchandise if paid by 10/22/12. Shipped to Mail Payment to McMaster-Carr Attention: Jeff Cooper PO Box 7690 City of Carmel Chicago IL 60680-7690 Waste-Water Treatment Plant Your Account 209661600 9609 Hazel Dell Pkwy Indianapolis IN 46280-2935 Order placed by email. Line Description Ordered Shipped Balance Unit Price Total 1 1697T65 Rotating-Shaft Counter, Up Cw, Down Ccw, 5 Digit, 1 1 0 62.98 62.98 Shaft on Right Side Each Each Merchandise 62.98 Shipping 4.42 Total $67.40 Packing List Shipped Weight Carrier Tracking 2759556-01 10112/12 1 lb UPS Ground 1Z6028360314177077 Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1 SP 7688 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 353909 MCMASTER CARR SUPPLY CO Purchase Order No. PO BOX 7690 Terms CHICAGO, IL 60680 Due Date 10/18/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/18/201; 38987173 $67.40 I 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 Date Officer VOUCHER # 125961 WARRANT # ALLOWED 353909 IN SUM OF $ MCMASTER CARR SUPPLY CO PO BOX 7690 CHICAGO, IL 60680 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 38987173 01-7200-02 $67.40 Voucher Total $67.40 Cost distribution ledger classification if claim paid under vehicle highway fund