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217100 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 064850 Page 1 of 1 ONE CIVIC SQUARE CONTINENTAL RESEARCH CORP CARMEL, INDIANA 46032 PO Box 15204 CHECK AMOUNT: $1,686.00 ST LOUIS MO 63110 CHECK NUMBER: 217100 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4238900 381238-CRC 1, 686 . 00 OTHER MAINT SUPPLIES INVOICE Page 1 of 2 g �cJ Invoice Number 381238-CRC S Cust. P.O. No. Jeff Barnes t 7 Sales Order No. 381238 Invoice Date 01/22/13 Customer No:CAR0005 B.O.L.#: COMPLETE Salesman: FINN, ERIC A.P.C.: 1C REMIT TO: CONTINENTAL RESEARCH CORPORATION Type: Exp Date: P.O. BOX 15204 ST. LOUIS, MO 63110 Credit Card#: Card Holder: I T CITY OF CARMEL S T CITY OF CARMEL-CITY HALL N 0 ACCTS PAYABLE JEFF BARNES V ONE CIVIC SQUARE H O ONE CIVIC SQUARE CARMEL, IN 46032-2584 1 CARMEL, IN 46032-2584 O P I C E - LINE ITEM N0./ DESCRIPTION/ OTy OTY T UNIT EXTENDED N0. CATALOG NO. CUSTOMER ITEM NO./ ORDERED SHIPPED A PRICE/ PRICE CLEI CODE X UOM 1 P-MOH02-012-DZ-01 Metal Of Honor A 1.0 1.0 Y 226.00 226.00 43890 DZ 2 P-SH102-012-DZ-01 Shine 1.0 1.0 Y 205.00 205.00 43753 DZ 3 P-MAD01-012-DZ-01 Melt-Away De-Icer 1.0 1.0 Y 177.00 177.00 07612 DZ 4 P-XMU01-012-DZ-02 Xtra-Muscle Brake & Parts 1.0 1.0 Y 202.00 202.00 06457 DZ 5 P-OTD01-010-CS-02 On The Dot Spiced Apple(10cs) 3.0 3.0 Y 114.00 342.00 13196 CS 6 D-ESFT-B-3 Perma-Seal Tape Black 3/c 1.0 1.0 Y 99.55 99_.55 _ 06357. HC 7 D-CMRW-12 Mastic Rubber Tape 12/cs 1.0 1.0 Y 110.00 110.00 09958 CS 8 D-P-GLOVE-55-02 InsulateHi-VisMechGlvWP L 2.0 2.0 Y 28.00 56.00 44007 PR Continued On Next Page... For your convenience we accept Master Card, Visa, and American Express. All returns must be authorized by the St.Louis office. A 20%restocking fee,and freight both ways will be charged to the customer. Material returned after 120 days will be issued credit only. All credits expire at 180 days. Materials may not be retur Material Safety Data Sheets available at www.crcorp.com INVOICE Page 2 of 2 Invoice Number 381238-CRC Cust. P.O. No. Jeff Barnes Sales Order No. 381238 Invoice Date 01/22/13 Customer No:CAR0005 B.O.L.#: COMPLETE Salesman: FINN, ERIC A.P.C.: 1C REMIT TO: CONTINENTAL RESEARCH CORPORATION Type: Exp Date: P.O.BOX 15204 ST.LOUIS,MO 63110 Credit Card#: Card Holder: I T CITY OF CARMEL S T CITY OF CARMEL-CITY HALL N O ACCTS PAYABLE JEFF BARNES V ONE CIVIC SQUARE H O ONE CIVIC SQUARE CARMEL, IN 46032-2584 1 CARMEL, IN 46032-2584 O P I C LINE ITEM NO./ DESCRIPTION/ QTY QTY T UNIT EXTENDED NO. CATALOG NO. CUSTOMER ITEM NO./ ORDERED SHIPPED A PRICE/ PRICE CLEI CODE X UOM 9 H-114538 Triple Edge Recip Blade 8 1.0 1.0 Y 123.00 123.00 43083 PK 10 H-502414-10 1X2-1/2 SAE GR5 C/S 1.0 1.0 Y 63.00 63.00 21883 BX 11 H-50905-200 3/16 USS WASHER ZINC 1.0 1.0 Y 7.00 7.00 27536 BX D Q � FEB 11 2013 By Customer Service Contact: Account Receivable SUBTOTAL : 1,610.55 TAXES: STATE .00 Phone# (800)729-4578 COUNTY/PARISH .00 FAX# (314) 776-6810 CITY .00 SHIPPING_HANDLING: 75.45 PAYMENT TERMS: PLEASE PAY THIS AMOUNT $ 1,686.00 For your convenience we accept Master Card, Visa, and American Express. All returns must be authorized by the St.Louis office. A 20%restocking fee,and freight both ways will be charged to the customer. Material returned after 120 days will be issued credit only. All credits expire at 180 days. Materials may not be retur Material Safety Data Sheets available at www.crcorp.com 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)) 01/22/13 381238-CRC $1,686.00 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Contenental Research Corporation IN SUM OF $ PO Box 15204 St. Louis, MO 63110 $1,686.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 381238-CRC 42-389.00 $1,686.00 I 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 Monday, February 11, 2013 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund