HomeMy WebLinkAbout215432 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 366755 Page 1 of 1
ONE CIVIC SQUARE TRISTATE VALVES&CONTROLS INC CHECK AMOUNT: $194.02
CARMEL, INDIANA 46032 FLORENCE 7 41022-1477
CHECK NUMBER: 215432
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1021718-00 194 . 02 MATERIALS & SUPPLIES
Vie Trislair kWws&Cowtols F—W),offtsinmes
Af77NA'1-1lVA(0•TMS•TFS•PSV Service and Sales Tristate Valves & Controls, Inc.
100 Northeast Drive INVOICE
TRIVAC Tristate Valves Loveland, OH 45140
&Controls,Inc. Tel. 513-697-9890 Fax. 513-697-9901 Customer Copy
Please Remit To:
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Tristate Valves & Controls, Inc. i !.qe:: 'VM er 1 1021718-00
P.O. Box 1477 invol'CeDato 11/28/2012
Florence, KY 41022-1477
...........
I of I
Bill To: Carmel Waste Water Treatment ship To: Carmel Waste Water Treatment
9609 Hazell Dell Parkway 9609 Hazell Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
6 P O'At bons.:::
Terms :'�Np::V
red cusi mer.:,
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Wz 5158_ 11/27/2012 513M 11/28/2012 FOB: Origin, FRT: PPD/ADD Net 30 Days 1—UPS-Ground.
Line
Item #lDescriptionlComments UM Ordered Back Ordered, Shipped Unit:Price;:.j-- Amount,
1 87179 EIM MG02 Seal Kit EA 3 0 3 60.00 180.00
Includes items 13, 14, 15, 23, 25, 27
Total 180.00
Freight Out 14.02
Invoice Total 194.02
Lines Total I Qty Shipped Total 3
We appreciate your business!
194.02
VOUCHER # 126292 WARRANT # ALLOWED
352258 IN SUM OF $
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&rmel ast�wat r t ity� Z
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1021718-00 01-7202-06 $194.02
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1
Voucher Total $194.02
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
352258
TRIVACO Purchase Order No.
100 NORTHEAST DRIVE Terms
LOVELAND, OH 46140 Due Date 12/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2012 1021718-00 $194.02
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 5711-10-1.6
Date Officer