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218419 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 366482 Page 1 of 1 ° ONE CIVIC SQUARE CLASSIC AUTOMATION LLC CARMEL, INDIANA 46032 800 SALT ROAD CHECK AMOUNT: $358.00 WEBSTER NY 14580 CHECK NUMBER: 218419 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 IN13-0803 358 . 00 OTHER EXPENSES Invoice Classic Automation LLC Invoice Number: 800 Salt Road ® IN13-0803 Webster, NY 19580 USA - Yd 47®t �U®N ® � �Ilk' Invoice Date: Mar 11, 2013 Voice: 585 241-6010 585 241-6014 Unpaid Page' Fax: 1 Sold To: Ship to: Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant 9609 Hazel Dell Parkway Attn Blane Mallaber Indianapolis, IN 46280 9609 Hazel Dell Parkway Indianapolis, IN 46280 Attention:Accounts Payable Customer ID Customer PO Payment Terms I CZ12-1084 513485 Net 30 Days I Sales Rep ID Shipping Method Ship Date Due Date—1 GS UPS Ground 3/11/13 4/10/13 Quantity Item Description Unit$ USD Item Total $ USD 1.00�6ES7331-7KF02-OABO IRepair of Siemens Analog Input 351.00 351.00 Module, 1-year Warranty RA13-039 I i Please make checks payable to Classic Automation LLC if Subtotal 351.00 Sales Tax balance is shown. Shipping 7.00 Total Invoice Amoun 358.00 Check/Credit Memo No: Payment/Credit Applies TOTAL ORDER $USD 358.00 The amount is in US dollars. 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 366482 CLASSIC AUTOMATION Purchase Order No. 800 SALT ROAD Terms WEBSTER, NY 14580 Due Date 3/20/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/2013 I N 13-0803 $358.00 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 Date Officer VOUCHER # 135170 WARRANT # ALLOWED 366482 IN SUM OF $ CLASSIC AUTOMATION 800 SALT ROAD WEBSTER, NY 14580 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code IN13-0803 01-7362-06 $358.00 Voucher Total $358.00 Cost distribution ledger classification if claim paid under vehicle highway fund CITY OF CARMEL, INDIANA VENDOR: 366482 Page 1 of 1 ° ONE CIVIC SQUARE CLASSIC AUTOMATION LLC CARMEL, INDIANA 46032 800 SALT ROAD CHECK AMOUNT: $358.00 WEBSTER NY 14580 CHECK NUMBER: 218419 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 IN13-0803 358 . 00 OTHER EXPENSES Invoice Classic Automation LLC Invoice Number: 800 Salt Road ® IN13-0803 Webster, NY 19580 USA - Yd 47®t �U®N ® � �Ilk' Invoice Date: Mar 11, 2013 Voice: 585 241-6010 585 241-6014 Unpaid Page' Fax: 1 Sold To: Ship to: Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant 9609 Hazel Dell Parkway Attn Blane Mallaber Indianapolis, IN 46280 9609 Hazel Dell Parkway Indianapolis, IN 46280 Attention:Accounts Payable Customer ID Customer PO Payment Terms I CZ12-1084 513485 Net 30 Days I Sales Rep ID Shipping Method Ship Date Due Date—1 GS UPS Ground 3/11/13 4/10/13 Quantity Item Description Unit$ USD Item Total $ USD 1.00�6ES7331-7KF02-OABO IRepair of Siemens Analog Input 351.00 351.00 Module, 1-year Warranty RA13-039 I i Please make checks payable to Classic Automation LLC if Subtotal 351.00 Sales Tax balance is shown. Shipping 7.00 Total Invoice Amoun 358.00 Check/Credit Memo No: Payment/Credit Applies TOTAL ORDER $USD 358.00 The amount is in US dollars. 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 366482 CLASSIC AUTOMATION Purchase Order No. 800 SALT ROAD Terms WEBSTER, NY 14580 Due Date 3/20/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/2013 I N 13-0803 $358.00 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 Date Officer VOUCHER # 135170 WARRANT # ALLOWED 366482 IN SUM OF $ CLASSIC AUTOMATION 800 SALT ROAD WEBSTER, NY 14580 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code IN13-0803 01-7362-06 $358.00 Voucher Total $358.00 Cost distribution ledger classification if claim paid under vehicle highway fund