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215115 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 360654 Page 1 of 1 ONE CIVIC SQUARE NETECH CORPORATION CARMEL, INDIANA 46032 PO BOX 99613 CHECK AMOUNT: $41.92 TROY MI 48099-9613 ,o CHECK NUMBER: 215115 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4230200 65679 41 . 92 OFFICE SUPPLIES 04� Amok rlt!tech REMIT PAYMENT TO: Invoice NETech Corporation 6355 East Paris Ave. P.O.Box 99613 Caledonia, MI 49316 Troy,MI 48099-9613 Invoice No. 65679 Tel: 616.871.1500 Fax: 616.871.1670 Customer No. CAR105 www.netechcorp.com Bill To Ship To Carmel Clay Parks& Recreation Carmel Clay Parks& Recreation Attn: Receiving POA0000181 Attn: Accounts Payable . 1411 E. 116th Street NOV 19 2012 1411 E. 116th Street Carmel, IN 46032 Carmel, IN 46032 Invoice Date Order Date SO Number Ordered By Customer PO Number Payment Method 11/08/12 11/06/12 49643 Dawn Koepper A0000181 NET 30 Warehouse Invoice Delivery Method F.O.B. Salesperson CW SO# INDY Print& Mail Shipping Point Carrie Ford 16836 Order Ship Unit Extended Quantity Quantity Tax Item Number/ Description Price Price 1 I Y CP-PWR-CUBE-3 U of M: EA 22.95 22.95 IP Power Transformer 1 1 Y CP-PWR-CORD-NA U of M: EA 5.10 5.10 North America Power Cord Purchase /��� Description ���� P.O.# P or F G.L.# 1/,2,-V200 Bud et Line Descr Purchaser Date Approval _Dafe Print Date 11/08/12 Total Paid 0.00 Subtotal 28.05 Print Time 04:13:36 PM Balance Due 41.92 Freight 13.87 Page No. 1 Due Date 12/08/12 Printed By: Amanda La Rue Invoice Total 41.92 f ' ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 360654 NETech Corporation P.O. Box 99613 Date Due Troy, MI 48099-9613 Invoice Invoice Description Date. Number (or note attached invoice(s) or bill(s)) PO# Amount 1y 1/8112 65679 Power adaptor for phone $ 41.92 -Total $ 41.92 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. Allowed 20 360654 NETech Corporation P.O. Box 99613 Troy, MI 48099-9613 In Sum of$ $ 41.92 ON ACCOUNT OF APPROPRIATION FOR 101 - General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 65679 4230200 $ 41.92 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the _ materials or services itemized thereon for which charge is made were ordered and received except 29-Nov 2012 Signature $ 41.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund f