HomeMy WebLinkAbout219894 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 367122 Page 1 of 1
'0 ONE CIVIC SQUARE SEALMASTER INDIANAPOLIS BERNAT% CK AMOUNT: $3,683.70
CARMEL, INDIANA 46032 1010 E SUMNER AVE
INDIANAPOLIS IN 46227 CHECK NUMBER: 219894
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 6131 3 , 683 . 70 PAINT
SealMaster Indianapolis
Invoice
Bernath LLC
1010 E. Sumner Ave. Date Invoice#
Indianapolis, IN 46227 4/25/2013 6131
.com
Phone: 317-780-1310 Vy. 0 IM
Fax: 317-780-1315 �
Bill To Ship To
City of Carmel Carmel Street Department
One Civic Square 3400w 13 l st St.
Carmel, IN 460 321 Westfield; IN 46074
f
P.O.Number Terms Due Date Rep Ship Date
Street Marking Net 30 5/25/2013 4/25/2013
i
Quantity Item Code Description Price Each Amount
20 TP Fast Dry- W... Fast Dry Traffic Paint- White 5 gal pail 82.79 1,655.801
10 TP Fast Dry-Ye... Fast Dry Traffic Paint- Yellow 5 gal pail 82.79 827.90T
30 Glass Beads Glass Beads(50 Lb bag) 40.00 1,200.00T
Tax Exempt 0.00% 0.00
f
i
i
Thank you for your business.
Customer Signature Total $3,683.70
A late charge of 1 1/2% per month(18%annualy)will be charged on all past due balances.Accounts with balances past due will be subject to
suspension of credit privileges. Buyer shall pay$ealMaster Indanapolis all costs incurred in collecting past due accounts from buyer,including but
not limited to,all court costs and attornev fees.
VOUCHER NO. WARRANT NO.
ALLOWED 20
SealMaster Indianapolis
Bernath LLC IN SUM OF $
1010 E. Sumner Ave.
Indianapolis, IN 46227
$3,683.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 6131 I 42-364.001 $3,683.70 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
I )/_0 P 0 All M 2013
Str oTissisMener
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))
04/25/13 6131 $3,683.70
1 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