HomeMy WebLinkAbout216763 01/29/2013 �. CITY OF CARMEL, INDIANA VENDOR: 00351490 Page 1 of 1
ONE CIVIC SQUARE JACKSON CONTROL COMPANY INC
' ) CARMEL, INDIANA 46032 PO BOX 6214 CHECK AMOUNT: $174.80
INDIANAPOLIS IN 46204-6214 CHECK NUMBER: 216763
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 224014 174 . 80 OTHER EXPENSES
JACKSON CONTROL COMPANY, INC. INVOICE
1708 EAST 10th STREET
INDIANAPOLIS, IN 46201 Customer Copy
Phone: 317-231-2200 Fax: 317-231-2209 Number 224014
E-Mail: APing @JacksonControl.com Date 12/12/12
Website: www.JacksonControl.com
Page 1
Bill To: Carmel Waste Water Treatment Ship To: Carmel Waste Water Treatment
0000750 9609 Hazel Dell Parkway SAME 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
P O Number Shipped Salesperson Terms Tax Code Doc.# Wh Freight Ship Via
S 13422 12/12/12 05 Anita Ping Net 30 00 161347 01 PRE/ADD Counter Pickup
Item Description _ Ordered Shipped Backordrd UM Price UM Extension
LF24SR Motor 24V 0/10 1 1 0 EA 174.80 EA 174.80
Possible warranty replacement.
Credit to be issued when and
if Jackson rec's credit.
Defective part to be brought
in when this is picked up.
RMA H 121212-AP
BLAINE MALLABER
PLEASE PAY FROM THIS INVOICE. NO STATEMENT RENDERED.
PLEASE NOTE NEW REMIT TO: ACCOUNTS OVER 30 DAYS WILL BE CHARGED 1 112% PER MONTH.
-1708 EAST 10th STREET PURCHASER SHALL ASSUME RESPONSIBILITY FOR ALL ATTORNEYS FEES, COURT-COSTS-OR
INDIANAPOLIS, IN 46201 OTHER COSTS INCURRED BY SELLER WHILE COLLECTING THE AMOUNT DUE ON THIS ORDER.
Merchandise. Misc Discount Ta'x Freight Total Due
174.80 .00 .00 .00 .00 174.80
J
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
351490
JACKSON CONTROL CO.,INC. Purchase Order No.
P.O. 6214 Lockbox Terms
INDPLS, IN 46204 Due Date 12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: 224014 $174.80
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
Date Officer
VOUCHER # 126492 WARRANT # ALLOWED
351490 IN SUM OF $
JACKSON CONTROL CO.,INC.
x(,-2.eY 6 1,0-'- 5t
INDPLS, IN 46-2A4 t-f(0g,o(
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
224014 01-7202-06 $174.80
Voucher Total $174.80
Cost distribution ledger classification if
claim paid under vehicle highway fund