HomeMy WebLinkAbout221061 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367219 Page 1 of 1
ONE CIVIC SQUARE GREEN TEK LLC
s CHECK AMOUNT: $267.00
,. CARMEL, INDIANA 46032 Po eox aaaz
1„o� CARMEL IN 46082 CHECK NUMBER: 221061
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 1680 267 . 00 OTHER MAINT SUPPLIES
Green Tek LLC Invoice
P.O. Box 4442 Date Invoice#
Carmel IN 46082
6/12/2013 1680
Bill To Ship To
Dave Huffman Dave Huffman
City of Carmel Street Dept. City of Carmel Street Dept.
3400 West Main Street 3400 West Main Street
Carmel, IN 46074 Carmel, IN 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
Verbal—DH Due upon receipt of p. . 6/12/2013
Quantity Item Code Description Price Each Amount
12 GT Descaler Hard Water Scale Remover 20.00 240.00
Shipping 27.00 27.00
L
Total $267.00
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 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))
06/12/13 1680 $267.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Green Tek LLC
IN SUM OF $
P.O. Box 4442
Carmel, IN 46082
$267.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 1680 I 42-389.001 $267.00 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
A
Fri June 14, 2013
Street Commi si ner
StrpAt C^mmissieRer
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund