HomeMy WebLinkAbout215559 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
4 � ONE CIVIC SQUARE AGRO CHEM CHECK AMOUNT: $418.45
CARMEL, INDIANA 46032 2045 S WABASH STREET
WABASH IN 46992 CHECK NUMBER: 215559
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 IN00529749 67 . 16 REPAIR PARTS
2201 4237000 IN00529762 297 . 03 REPAIR PARTS
2201 4237000 IN00529888 54 . 26 REPAIR PARTS
AGRO CHEM, INC. i nvo I ce Date Invoice#
EO 2045 S WABASH STREET 12/5/2012 IN00529749
WABASH, IN 46992
Phone: 800-686-5680
Fax: 888-281-4321
www.agrochem.com
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
ONE CIVIC SQUARE 3400 WEST 131 STREET
CARMELJN 46032 CARMEL,IN 46032
S T ATENIEN T S SENT BI-IVION T HLY=PLEASE PAY F R0T'V iNVOiCE
P.O. Number Rep Ship Via Terms Due Date
5 12/5/2012 UPS NET 30 DAYS 1/4/2013
Ordered Shipped B/O Item Code Description Price Each Amount
4 4 0 XR8015SS NOZZLE 6.12 24.48
4 4 0 8020SS TEEJET TIP ST STL 7.93 31.72
1 1 0 UPS SHIPPING 10.96 10.96
Total $67.16
AGRO CHEM, INC. Invoice Date Invoice#
AGRO CHEM 2045 S WABASH STREET 12/5/2012 IN00529762
WABASH, IN 46992
Phone: 800-686-5680
Fax: 888-281-4321
www.agrochem.com
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
ONE CIVIC SQUARE 3400 WEST 131 STREET
CARMELJN 46032 CARMEL,IN 46032
STATEMENTS-SEN T-B1--MONTHLY=PLEA E PAY-i ROPJI-INVOICE ------ —---
P.O. Number Rep Ship Via Terms Due Date
5 12/5/2012 UPS NET 30 DAYS 1/4/2013
Ordered Shipped B/O Item Code Description Price Each Amount
2 2 0 4300500 12 VOLT PUMP 141.48 282.96
1 1 0 UPS SHIPPING 14.07 14.07
Total $297.03
AGRO CHEM, INC. Invoice Date Invoice#
AGRO CHEM 2045 S WABASH STREET 12/10/2012 IN00529888
0 WABASH, IN 46992
Phone: 800-686-5680
Fax: 888-281-4321
www.a,-rochem.com
Bill To Ship To
CARMEL STREET DEPT CARMEL STREET DEPT
3400 WEST 131ST STREET 3400WEST 131ST STREET
WESTFIELD IN 46074 WESTFIELD,IN 46074
STATEVIEIvTS-SENT-BI-MONTHLY PLEASE PAY-FROM TINT VOICE
P.O. Number Rep Ship Via Terms Due Date
2 12/10/2012 UPS NET 30 DAYS 1/9/2013
Ordered Shipped B/O Item Code Description Price Each Amount
1 1 0 TEG100 1'TEE,GAUGE NPT 8.87 8.87
2 2 0 RB125100 1-1/4 X 1 POLY REDUCER 1.39 2.78
4 4 0 RN100075 I'x 3/4'POLY REDUCER NIPPLE 1.26 5.04
5 5 0 TEE100 F POLY TEE 3.16 15.80
6 6 0 HB10007590 F NIALE THREAD X 3/4'HOSE SHANK 90 1.09 6.54
8 8 0 H13100 1'MALE THREAD X F HOSE SHANK 0.83 6.64
UPS SHIPPING 8.59 8.59T
Sales Tax 0.00% 0.00
Total $54.26
VOUCHER NO. WARRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF $
2045 S. Wabash Street
Wabash, IN 46992
$418.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 IN00529749 42-370.00 $67.16 I hereby certify that the attached invoice(s), or
2201 IN00529762 42-370.00 $297.03 bill(s) is (are) true and correct and that the
2201 IN00529888 42-370.00 $54.26
materials or services itemized thereon for
which charge is made were ordered and
received except
�7 /
day DecejnLb1.4', 2012
� vv ff
StrStreet Com'`m`issioner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
12/05/12 I N00529749 $67.16
12/05/12 I N00529762 $297.03
12/10/12 I N00529888 $54.26
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
, 20
Clerk-Treasurer