221617 07/02/2013 �,\wf CITY OF CARMEL, INDIANA VENDOR: 00350915 Page 1 of 1
ONE CIVIC SQUARE METRIC SEALS INC. CHECK AMOUNT: $15.85
CARMEL, INDIANA 46032 PO BOX 292
s��o WESTFIELD IN 46074-0292 CHECK NUMBER: 221617
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0136633 15 . 85 OTHER EXPENSES
Metric Seals, Inc. Invoice .,` .,;b..T 0136633
17030 Westfield Park Rd. P.O.Box 292 _Date .' 06/20/2013
Westfield,IN 46074-0292 Pa e`
317-896-3555 or 1-866-2METRIC INVOICE
Fax:317-867-2000
www.metric-seals.com
Bill To: Ship To:
CARMEL WASTEWATER TREATMENT PL CARMEL WASTEWATER TREATMENT PL
760 3RD AVENUE SW ONE CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Customer'.ID _ Purchase Order No:_ Salesperson ID.J` Shipping Method' Payme6 Terms
CARMEL CENTRIFUGE MIKE PICKUP Net 30
Ordered; Shi ed•:` 'B/O Descri tion U of M. Unit Pnce <' Ext: Price ;
2 2 0 2-350 BUNA EACH $2.0500 $4.10
1 1 0 2-278 BN70 EACH $6.9000 $6.90
1 1 0 2-269 BN70 EACH $4.8500 $4.85
TERMS OF SALE: The purchase price,together with freight and tax,is Sub_tOtel "' - $15.85
due at the office of Seller in Westfield,Indiana within thirty(30)days of
the date on this invoice.The balance of the price remaining unpaid on
MisC :'a ;:, $0.00
the thnty first(31st)day following the date of this invoice shall bear a -Tax�. $0.00
service charge at the rate of one and one-half percent(1-112%)per
month. The Annual Percentage Rate(APR)is eighteen percent(18%). Freight $0.00
Buyer's account shall be considered delinquent if the balance of the Trade Discount ' i• j $0.00
purchase price is not paid in full within sixty(60)days of the date of this .�
invoice. Seller shall be entitled to recover all costs of collection, ',:Total" �' $15.85
including reasonable attorneys fees,as to a delinquent account.
APPLICABLE LAW,JURISDICTION,and VENUE: This transaction
shall be governed by the laws if the State of Indiana.Jurisdiction and THANK YOU!
venue shall be Hamilton County,Indiana,for collection and all other
purposes.
Invoice
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true a d co rect and I have audited same in accordance
with IC 5-11-10-1.6.
Mo. Day Yr. 6yc er Title
i
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACC .
NOT
CARMEL, INDIANA
s� 1F vor Of
�- (�
03o W s}?018 Cp-1k 0.
Po gox aqa
�Jes�'ccla '=N q-0a9a
Total Amount of Voucher $
Deductions
01-36633
01--790;t-0 15
Amount'of Warrant $
Month of Yr
VOUCHER RECORD ANo.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382.8702 325 ,