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219266 04/24/2013
CITY OF CARMEL, INDIANA VENDOR: 054300 Page 1 of 1 ONE CIVIC SQUARE CENTRAL SUPPLY CO, INC ! CARMEL, INDIANA 46032 PO BOX 1982 CHECK AMOUNT: $2,259.97 INDIANAPOLIS IN 46206 CHECK NUMBER: 219266 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 5439671 1, 706 .44 OTHER EXPENSES 601 5023990 5450989 553 . 53 OTHER EXPENSES Central Supply Co. , Inc . I1t1'7lu3l 0- I ndianapolis82IN 46206 Telephone : 317-898-2411 001p 1 P.o. 3t1JVIE�ER. SHIP X'. ;' Direct Prepay/Add »P ]QR NAM.E:.>NU SEA::.>::` SESMIV<:: .............. ELEC ACTUATOR 022 SO L©.:::;:> TO ..> ..SHIP TO .> CARMEL UTILITIES CARMEL UTILITIES 3450 W 131ST ST 3450 W 131ST ST CARMEL, IN P.O. W09789 46074 CARMEL, IN 46074 ---- DATE.>. .:.::;::: ::>:::>:....SH3F.DATE >>;; :> >::>"bUE""ON?< :::;"CtkST{1MER`Nb:::::::;:::::::::::::: 5439671 IF-4/02/13 1 3/26/13 1 5/31/13 200334 ITEM,: 0. DE$CRkPT30N .. 4URNTfT" Lf/M . ' UNIT PRICE AMOUNT /HAY02030970HCTB1075ST WITH EPZ15-120 3 EA 546 . 4000 1, 639 . 20 ELECTRONIC ACTUATOR WITH * IN S OCK AT HAYWARD WITH 3 DAY LEAD TIME FOR ASSEMB Y r i *** If you pay by 5/10/13, you owe: 16 9 0 . 0 AMOUNT: 1, 639 . 20 . 00 "...:::. Ri 'F 5 7 . 2 4 10 . 00 2%per month service charge will be made on past due accounts. We hereby certify that these goods were Mp� Nl�� produced in compliance with all applicable requirements of sections 6,7,and 12 of the Fair Labor Standards Act as AIV0 1, 7 0 6 . 4 4 ammended,and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. . ` 'IYT'... EXCLUSION.OF WARRANTIES: The factory warranty constitutes the only warranty with respect to these goods. Seller and �Purchaser hereby agree that the implied warranties for MERCHANTABILITY and fitness for a particuiar purpose and all 6166- — warranties (except for the factory warranty), express or implied, include any warranties made by affirmation, promise, description, or sample are EXCLUDED from this transaction and shall not apply to the goods sold. i•IINCINV All items marked with an'(*)'are NON NSF61-G compliant and are non-returnable after 3/31/13,subject to approval,and may not be installed in a potable water system after 114/14. Central Supply Co. , Inc . entral Supply Co. P. O. Box 1982 INVr""ICE Indianapolis, IN 46206 Telephone : 317-898-2411 001 14'-*.��:!.' APE P.O. NUMBER. ... .. SAID VIA .: DAN040413B Direct Prepay/Add .... ....... .. ....- :JOB NAME N.UMBER ;-NT TERMS sLSMN::... L 022 ::SOLD%TOx-: HI R TO: CARMEL UTILITIES CARMEL UTILITIES 3450 W 131ST ST 4915 E. 106TH STREET CARMEL, IN P.O. DAN 040413B 46074 CARMEL, IN 46033 DATE: :> DATE-::::i--.. INVOICE..::- QW:: STOMER 54-50989 - 4/12-/13 14%05%13- 5/-31j-r3—ij —2O- `i3-4--.... OUNT:— ITEM:NO—. 0ESCRtPTI0N`:- OUANTIT'Y..IJIMT.�:.��.. :]UNIT PRICE :AM /HAY02039998 HCTB1075ST W1 EPZ15-120 1 EA 546 . 4000 546 . 40 ELECTRONIC ACTUATOR W/ If you pay by 5/10/13, you owe : 548 . 01 AMO.0 NV 546 . 40 :::.TA . 00 HEIGHT 7 . 13 -:OTHER: . 00 2910 per month service charge will be made on past due accounts. We hereby certify that these goods were v S53 . 53 produced in compliance with all applicable requirements of sections 6,7,and 12 of the Fair Labor Standards Act as ammended,and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. I.AMQUATME. EXCLUSION OF WARRANTIES:The factory warranty constitutes the only warranty with respect to these goods. Seller and Purchaser hereby agree that-the-implied warranties for MERCHANTABILITY and-fitness-for-a particular purpose-and-all-other-- warranties (except for the factory warranty), express or implied, include any warranties made by affirmation, promise, description, or sample are EXCLUDED from this transaction and shall not apply to the goods sold. NI EIX I N N' All items marked with an'(*)'are NON NSF61-G compliant and are non-returnable after 3/31/13,subject to approval,and may not be installed in a potable water system after 1/4/14. 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 54300 CENTRAL SUPPLY CO, INC Purchase Order No. PO BOX 1982 Terms INDIANAPOLIS, IN 46206 Due Date 4/15/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/15/2013 5439671 $1,706.44 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 # 131364 WARRANT # . ALLOWED 54300 IN SUM OF $ CENTRAL SUPPLY CO, INC PO BOX 1982 INDIANAPOLIS, IN 46206 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit_Trail Code 5439671 01-6200-04 $1,706.44 Sy so98`� '' S 5v •53 Voucher Total aa�9 I t 1 $ Cost distribution ledger classification if claim paid under vehicle highway fund