HomeMy WebLinkAbout215199 12/04/2012 f CITY OF CARMEL, INDIANA VENDOR: 366009 Page 1 of 1
ONE CIVIC SQUARE TELEDYNE ISCO
CARMEL, INDIANA 46032 PO BOX 121175 CHECK AMOUNT: $330.25
DALLAS TX 75312-1175 CHECK NUMBER: 215199
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 009044 330 . 25 OTHER EXPENSES
TELEDYNE ISCO TELEDYNE ISCO.
Please
Everywhereyoulook` INVOICE P.O. Box 121175
Remit to: Dallas, TX 75312-1175
Phone:(800)228-4373
Intl:(402)464-0231 Page 1
Federal I.D. No.95-4888283 Invoice Date 11/14/12
Duns No.07-832-7063
BILLTO: SHIPTO:
INVOICE NO. 009044
CITY OF CARMEL CITY OF CARMEL
ACCOUNTS PAYABLE ATTN: BLAINE MALLABER
PO# 513387 PO# 513387
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
United States United States
Order.No. - Purchase Order Number Packing List Customer_No.
C06251722 513387 229811 966101
Carrier Payment Terms
- Destination Country
GROUND Net 30 Days
Tracking Number: Freight Terms Shipping Location
FOB FACT/PREPAID & ADD 11
Line No Part Number/Description Qty. _ UM Unit Price. Extended Amount-
Seller's Offer, and any order issued by Buyer to
Seller for the goods and/or services specified
herein, is strictly limited to Seller' s Terms
and Conditions of Sale, which can be found at
www.isco.com.
100 684700003 1 EA 313 .75 313.75
BTL KIT 24-1L PLST
4700 BOTTLE CONFIGURATION KIT
24-1 LITER PLASTIC BOTTLE S
Shipping and Handling Fees 16.50
Indiana Sales Tax S23 .12
3
To ensure proper credit,please refer to the invoice number.
Please refer to www.isco.com for:1)terms and conditions,2)shipping and freight rate table,and ION X3 . USD
3)Amt-boycott statement To report fraud or ethics issues,call the Teledyne Ethics Line 1-877-666-6968
These commodities,technology or software were exported from the United States in accordance with the Export Administration Regulations Diversion contrary to U.S.law prohibited.
United States law prohibits disposition of these commodities to any end user for any end use related to the design,development,production,stockpilling or use of chemical,biological or
muclear weapons or missiles,without the prior approval of the United States Goverment.
VOUCHER # 126221 WARRANT # ALLOWED
366009 IN SUM OF $
TELEDYNE ISCO
PO BOX 121175
DALLAS, TX 75312-1175
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
009044 01-7202-05 $330.25
Voucher Total $330.25
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 CARMIEL
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
366009
TELEDYNE ISCO Purchase Order No.
PO BOX 121175 Terms
DALLAS, TX 75312-1175 Due Date 11/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/201; 009044 $330.25
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
-
Date Officer