HomeMy WebLinkAbout222404 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 365417 Page 1 of 1
ONE CIVIC SQUARE GLENROCK COMPANY
CARMEL, INDIANA 46032 PO BOX 95279 CHECK AMOUNT: $177.50
PALATINE IL 60095 CHECK NUMBER: 222404
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 1197386 177 . 50 CEMENT
INVOICE
Remit to: /if INVOICE NUMBER
Glenrock Company
1197386
P.O. Box 95279
Palatine, IL 60095 LENROCK Invoice Date Page
7/18/2013 01:12:55 1 of 1
630-530-9600 OSM
Comps n—y ORDER NUMBER
M 1217623
Bill To: Ship To:
City of Carmel/Street Department City of Carmel/Street Department
3400 W. 131st Street 3400 W. 131st Street
Carmel, IN 46074 Carmel, IN 46074
Customer ID: 15998
PO Number Terms Description Net Due Date Primary Salesrep Name
Ron Williams Net 30 08/17/13 Account House Indiana
Order Date Pick Ticket No Carrier Taker
6/27/2013 13:05:18 1218063 WILL CALL-CUSTOMER P/U RBRIDGFORD
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining Item Description Unit Size Price Price
1.00 1.00 0.00 361126OPTBG GAL 26.00 26.00
IMCO 1260 MG KRETE PART B 1 GAL LIQUID 1
3.00 3.00 0.00 3611260FU LINT 50.50 151.50
IMCO 1260 MG KRETE FINE BAG 50LB& 1 GAL 1
Total Lines:2 S'UB'TOTAL: 177.50
TAX: 0.00
AMOUNT DUE: 177.50
YOU CAN ALSO CHECK US OUT ONLINE AT:
www.GlenrockCompany.com
ORIGINAL
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))
07/18/13 1197386 $177.50
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
VOUCHER NO. WARRANT NO. _
ALLOWED 20
Glenrock Company
IN SUM OF $
P. O. Box 95279
Palatine, IL 60095
$177.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 1197386 I 42-362.001 $177.50 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
6, 2013
Cm Fm
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund