HomeMy WebLinkAbout216455 01/15/2013 a . CIPY OF CARMEL, INDIANA VENDOR: 366827 Page 1 of 1
ONE CIVIC SQUARE MONOXIVENT
CARMEL, INDIANA 46032 1306 MILL ST CHECK AMOUNT: $183.63
ROCK ISLAND IL 61201 CHECK NUMBER: 216455
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0061831-IN 183 . 63 OTHER EXPENSES
® INVOICE
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1306 Mill Street I Rock Island, IL USA 61201 p: (309)794-1000 1 f: (309)794-1020
info @monoxivent.com www.monoxivent.com
Sold To: Shipped To:
Carmel Utilities-Water Carmel Utilities-Water
3450 W 131 st Street 3450 W 131 st Street
Carmel,IN 46074 Attn:Greg Hollander
Carmel,IN 46074
Invoice Date Date Shipped Ship VIA Your Order No. F.O.B. Terms Invoice Number
1/.7/2013 1/4/2013—_ -UPS GH121712 Shipping Point NET 3n DAYS_ 006183-1-N
uantity Item Number Description Price Amount
1.000 *15000-TT-1000N GAS SHOCK FOR 15106-TT ARN1 154.400. 154.40
i Terms& Conditions Net Invoice: 154.40
INTEREST CHARGE:1 1/2%MONTHLY 18%ANNUAL INTEREST CHARGED ON PAST DUE ACCOUNTS(ACCO,UNTS Less Discount: 0.00
PAST 60 DAYS-SUBJECT TO C.O.D.STATUS) Freight: 29.23
SHORTAGES:SHIPMENTS ARE CONSIDERED COMPLETE UNLESS NOTIFIED WITHIN 20 DAYS OF INVOICE DATE.
RETURNS:RFTURNS.MUST BE AUTHORIZ ERA.ND-AN-RA NUMBER_ASSIGNED. FREIGHT IS To BE PREPAID_ AND Sales Tax' 0'00
A 15%RESTOCKING FEE WILL BE ASSESSED. invoice Total: ,- - 1 83.63
VOUCHER # 123273 WARRANT # ALLOWED
366827 IN SUM OF $
M'ONOXIVENT
1306 MILL STREET
ROCK ISLAND, IL 61201
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
0061831-IN 01-6200-06 $183.63
Voucher Total $183.63
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
366827
MONOXIVENT Purchase Order No.
1306 MILL STREET Terms
ROCK ISLAND, IL 61201 Due Date 1/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/10/2013 0061831-IN $183.63
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
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Date Officer