221043 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 356599 Page 1 of 1
ONE CIVIC SQUARE FRY'S ELECTRONICS
CARMEL, INDIANA 46032 600 EAST BROKAW ROAD CHECK AMOUNT: $59.27
o SAN JOSE CA 95112-1016 CHECK NUMBER: 221043
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4722717 59 .27 OTHER EXPENSES
PLEASE REMIT TO: Date : 05/15/13 Store# : 43
LECMonCS 600 East Brokaw Road
r San Jose, CA 95112 Invoice # : 4722717
f rr 7
(408) 487-4500
Amount Due : $59 . 27
PO INFORMATION
Number: 51013
Customer # : 66393 Terms : Net 30 days
ACCOUNTS PAYABLE Received By: KEVIN BUHMANN
CDL: 8943293807 20180705
CARMEL WASTE WATER TREAITMENT PLANT
760 THIRD AVE. SW, SUITE 110
CARMEL, IN 46032
PLU Short Description Qty T Unit Price Extended Price
177-1611 30244 100 14" BLACK 100 1 R 8 . 890 8 . 89
3222211 P 3600 X-STRNGTH CLEANER 1 R 6 . 990 6 . 99
3065379 PHILMORE PC245 1 R 1 . 990 1 . 99
6301481 FIVE 2 PORT WALLPLATES 1 R 3 . 990 3 . 99
2369369 PT-088RS-PlC 1 R 14 . 990 14 . 99
1983412 DB25S-10 PACK 1 R 4 . 490 4 . 49
1983434 DB25P-10 PACK 1 R 4 . 490 4 . 49
288516 4704C 5 . 5" BLK 100 1 R 2 . 490 2 . 49
1910452 DB25MH-P 5 R 2 . 190 10 . 95
SUBTOTAL: $59 . 27
TAX @0 . 0700 : $0 . 00
TOTAL: $59 . 27
Attention: Accounts Payable
In order to correctly process payments, please write your Fry's customer number and invoice number(s)
being paid on each check, and mail to the following address: Fry's Electronics, Inc.
Accounts Receivable
600 E. Brokaw Road
San Jose, CA 95112-1016
Thank you for your cooperation, Fry's Accounts Receivable Department
ATTN: ACCOUNTS PAYABLE DEPT . Please Pay by 06/14/13
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
356599
FRY'S ELECTRONICS Purchase Order No.
600 E BROKAW ROAD Terms
SAN JOSE, CA 95112-1016 Due Date 6/12/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/12/2013 4722717 $59.27
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 0 Or
VOUCHER # 135761 WARRANT # ALLOWED
356599 IN SUM OF $
FRY'S ELECTRONICS
600 E BROKAW ROAD
SAN JOSE, CA 95112-1016
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4722717 01-7202-06 $59.27
Voucher Total $59.27
Cost distribution ledger classification if
claim paid under vehicle highway fund