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219534 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 330893 Page 1 of 1 QJ� ONE CIVIC SQUARE WESCO CHECK AMOUNT: $75.24 CARMEL, INDIANA 46032 PO BOX 633718 CINCINNATI OH 45263-3718 CHECK NUMBER: 219534 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350100 12966-99 75 .24 BUILDING REPAIRS & MA ORIGINAL CUSTOMER NUMBER INVOICE DATE PACKING SLIP NO. • 12966-99 03/28/2013 68050201 681594 V% BRANCH CODE CUSTOMER ORDER NUMBER PAGE DGIS�7�IONI f 0 5223 JEFF BARNES 1 of 1 1560 Indiana Avenue Indianapolis IN 46202 REMIT TO: WESCO RECEIVABLES CORP. P O BOX 633718 CINCINNATI OH 45263-3718 SOLD TO: 2103 1 MB 0.405 E01 28X 10214 D656307639 PI 394080 0001:0001 "IIIIIIIIa IIII IIII III IIIIIIIIIIIIIIIII IIII I I I I I I I I I I I I I I I a I I I III SHIP TO: CARMEL, CITY OF CARMEL, CITY OF 9609 HAZEL DELL PKWY ONE CIVIC SQUARE INDIANAPOLIS IN 46280-2935 JEFF BARNES CARMEL, IN 46032 ***INVOICE*** ***INVOICE*** ***INVOICE*** SHIPPING DATE NO.OF INV. RETURN MATERIAL WILL -" —'— - 8 nOUTiNv - FOB SHIPPING TERMS INVOI CES- _BIL' - REQ.- --- NOT-BE ACCE P i ED-WITH= 03/28/2013WESCO Tru P/S I PREPAID-CHARGE 2 N I Y OUT AUTHORIZATION LINE CATALOG NUMBER I.D. QUANTITY BALANCE UNIT DISCOUNT NO. AND DESCRIPTION NUMBER SHIPPED DUE PRICE U/M TRADE CASH EXTENSION 010 LEV 5601-2W SP WHT 15A SWITCH 07847751708 20 0 219.060 C 0.00 0.00 43.81 TRK-ID:W522300034873 20 0.00 0.00 BOX: 1 WEIGHT: 2.0 020 LEV 5603-2W 3WAY WHT 15A SWITCH 07847751728 10 0 314.290 C 0.00 0.00 31.43 TRK-ID:W522300034873 10 0.00 0.00 BOX: 1 WEIGHT: 2.0 SUB TOTAL 75.24 D PR 2 2 013 L BY— UNLESS THERE ARE DIFFERENT OR ADDITIONAL TERMS AND CONDITIONS CONTAINED IN A MASTER AGREEMENT THAT MODIFY WESCO'S STANDARD TERMS,BUYER AGREES THAT THE ACKNOWLEDGEMENT AND ACCEPTANCE YOU MAY DEDUCT IF PAID OF THIS AVAILABLE AT HTTP/L/WWW WESCO.DCOM/TERMSO AND CONDITIO SOOF STONE TERMS WITHIN 10 DAYS-NET 30 DAYS 0.00 ® 75.24 PDF,AS SUCH TERMS MAY BE UPDATED FROM TIME TO TIME,WHICH ARE INCORPORATED HEREIN BY REFERENCE AND MADE PART HEREOF PLEASE PAST DUE ACCOUNTS SUBJECT TO CHARGE OF 1.5%OR MAXIMUM PERMITTED BY LAW CONTACT THE SELLER IDENTIFIED ON THIS INVOICE IF YOU REQUIRE A PRINTED COPY. 0001:0001 VOUCHER NO. WARRANT NO. ALLOWED 20 WESCO Receivables Corp IN SUM OF $ PO Box 633718 Cincinnati, OH 45263-3718 $75.24 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 I 12966-99 I 43-501.00 I $75.24 1 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, April 22, 2013 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 03/28/13 12966-99 $75.24 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 20 Clerk-Treasurer