HomeMy WebLinkAbout219279 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 364677 Page 1 of 1
` ONE CIVIC SQUARE CLEAN EARTH SYSTEMS INC
CHECK AMOUNT: $8,637.00
CARMEL, INDIANA 46032 15245 AMBERLY DRIVE
TAMPA FL 33647 CHECK NUMBER: 219279
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 42450 8, 637 . 00 OTHER EXPENSES
Voice: (813) 930-6688 Invoice
Fax: (813) 930-2530 Invoice Number:
3` `;a.a n 690) ! 42450
00000000000000000000000o00oaoacro Invoice Date:
S Y S T E M S, I N C.
Mar 29,2013
15245 AMBERLY DRIVE Page:
Tampa, FL 33647-2155 1
USA
Sold To: Ship to:
City of Carmel HHW City of Carmel HHW
760 3rd Avenue 901 N Rangeline Road
Attn: Bill Kelam Carmel, IN 46032
Carmel, IN 46032
Customer ID Customer PO Payment Terms
CITY0019 WILLIAM 032613 28 15, Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
MW AVERITT 3/26/13 4/28/13
Quantity Item Description Unit Price Extension
160.00 CHTW100 CH 11G Triple-Wall Haz Box 34.00 5,440.00
160.00I HL6MIL ICH Liner 6-mil 20/Roll
16Roll/Pallet
100.00 N-OH30 EN 30 Gal OH Poly Recon 24.75 2,475.00
Subtotal 7,915.00
Sales Tax
Freight 722.00
Total Invoice Amount 8,637.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 8,637.00
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
364677
CLEAN EARTH SYSTEMS INC Purchase Order No.
15245 AMBERLY DRIVE Terms
TAMPA, FL 33647 Due Date 4/16/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2013 42450 $8,637.00
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 # 135363 WARRANT # ALLOWED
364677 IN SUM OF $
CLEAN EARTH SYSTEMS INC
15245 AMBERLY DRIVE
TAMPA, FL 33647
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
42450 01-720H-08 $8,637.00
I
Voucher Total $8,637.00
Cost distribution ledger classification if
claim paid under vehicle highway fund