HomeMy WebLinkAbout215683 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366764 Page 1 of 1
ONE CIVIC SQUARE K M INTERNATIONAL CHECK AMOUNT: $223.05
i• o CARMEL, INDIANA 46032 6561 BERNIE KOHLER DRIVE
NORTH BRANCH MI 48461 CHECK NUMBER: 215683
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 5257 223 . 05 REPAIR PARTS
K M INTERNATIONAL INVOICE
6561 Bernie Kohler Drive
North Branch, MI 48461
Date Invoice#
12/14/2012 5257
Bill To Ship To
CITY OF CARMEL CITY OF CARMEL
JEFF STEWART JEFF STEWART
3400 W. 131ST 3400 W. 131ST
CARMEL,IN 46074 CARMEL,IN 46074
S.O. No. P.O. No. Terms Due Date Rep Ship Via INCOTERM
8991 Net 30 Days 1/13/2013 TIM 12/14/2012 UPS GND
Quantity Description Rate Amount
1 ROBERT SHAW THERMOSTAT(350°STOP) 208.80 208.80T
1 UPS-GROUND TRACKING# 1Z7E91E10390920808 14.25 14.25
PURCHASED FROM W.A.JONES
Out-of-state sale,exempt from sales tax 0.00% 0.00
Total $223.05
Payments/Credits $0.00
Balance Due $223.05
Phone# Fax# E-mail Web Site
810-688-1234 810-688-8765 kmi @kminb.com www.kminb.com
VOUCHER NO. WARRANT NO,
ALLOWED 20
K M International
IN SUM OF $
6561 Bernie Kohler Drive
North Branch, MI 48461
$223.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 5257 1 42-370.001 $223.05 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
Friday,,,December,,14;,2012
r,
Street,Commis§ioner
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))
12/14/12 5257 $223.05
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
20
Clerk-Treasurer