HomeMy WebLinkAbout215335 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 364212 Page 1 of 1
ONE CIVIC SQUARE HOOSIER SEALING CO
i CARMEL, INDIANA 46032 5822 RAHKE DRIVE CHECK AMOUNT: $100.00
INDIANAPOLIS IN 46217 CHECK NUMBER: 215335
CHECK DATE: 12111/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 833509 100 . 00 MATERIALS & SUPPLIES
Hoosier Sealing i�, Y' p1 Co. 833509
5822 Rahke Road
• ® . _ Indpis, IN 46217
TO SHIP TO
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- - - -- - IMPORTANT - - - - — - . -- - 11 - - - - - - - -
Please'serid copies of your INVOICE with ORIGINAL BILL•OF LADING.
Purchase Order Number must appear on all invoices-packaging,etc.
Please notify us immediately if you are unable to complete the order by date
specified. PURCHASING AGENT -
T ';4W46,47 ORIGINAL 01"
VOUCHER # 122971 WARRANT # ALLOWED
364212 IN SUM OF $
HOOSIER SEALING SUPPLY CO
5822 RAHKE RD
INDIANAPOLIS, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
r
833509 01-6200-02 $100.00
Voucher Total $100.00
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
364212
HOOSIER SEALING SUPPLY CO Purchase Order No.
5822 RAHKE RD Terms
INDIANAPOLIS, IN 46217 Due Date 12/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2012 833509 $100.00
I 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