HomeMy WebLinkAbout223925 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 354686 Page 1 of 1
ONE CIVIC SQUARE GE INTELLIGENT PLATFORMS INC
CARMEL, INDIANA 46032 PO BOX 641275 CHECK AMOUNT: $984.72
PITTSBURG PA 15264-1275 CHECK NUMBER: 223925
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 800032509 984 . 72 OTHER EXPENSES
IIII IIIIIII III IIIIIIIIIII IIII IIIIII IIIIIIIIIIIIII IIII IIIIIIIIIIII VIII IIIIIIII
ACI-566153777725
Commercial Invoice
Invoice Number Purpose of Shipment Curr Ult Dest. Air Waybill Nbr.
USD Us 566153777725
:xport Dt C.I. References Pkgs Bill T/C Bill D/T/F
3/22/2013 800032509 1 1066-5032-2 1066-5032-2
BOX
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;hipper: Consignee:
;HIPPING KEVIN BUHMANN
;E MULTILIN CITY OF CARMEL
350 MARKLAND STREET 9609 HAZEL DELL PKWY
7ARKHAM INDIANAPOLIS
)N L6C0M1 CA (800) 547-8629 IN 46280 US (317) 716-1684
:D/EIN: ID/EIN:
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3roker Importer
Tax ID# 14-068934OFM
GENERAL ELECTRIC COMPANY
4200 WILDWOOD PARKWAY
Tax ID# 14-068934OFM
ATLANTA
GA 30339 US (800) 547-8629
ID/EIN: ID14-0689340FM'
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?art Nbr:PQM REMOTE DISPLAY Marks/Nbrs:SN 349 Cntry MFG:CA Net Wgt: 0.00 lbs
3S Code: 8537.10.9070 Unit Qty: 1.00 EA Unit Value: 984.720000 Commodity Value: 984.72
)esc: PQM REMOTE DISPLAY
•-------------------------------------------------------------------------------------------------------------------------------------------------------
Total Shipment Weight: 3.8 Total Commodity Value: 984.72
Terms of Sale: FCA/FOB
Freight: 0.00
Insurance: 0.00
Others: 0.00
Z Total Invoice Value: 984.72;omments: ® 0 6 L)REPLACEMENT PQM MOTOR RELAY UNIT
?)TOTAL VALUE 984.72
3)NO COMMERCIAL VALUE
[ declare all information in this invoice to b true and correct.
Signature of shipper: SHIPPING 8/22/2013
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` SEP 0 4 2013
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Page 1 of 1
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
T1000
GE FANUC INTELLIGENT PLATFORMS INC Purchase Order No.
C/O INDUSTRIAL NETWORK SYSTEMS Terms
724 E KENSINGTON ROAD Due Date 9/4/2013
ARLINGTON HEIGHTS, IL 60004
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2013 800032509 $984.72
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
FM 3
Date Officer
VOUCHER # 136288 WARRANT # ALLOWED
T1000 IN SUM OF $
GE FANUC INTELLIGENT PLATFORM
C/O INDUSTRIAL NETWORK SYSTEM%
724 E KENSINGTON ROAD
ARLINGTON HEIGHTS, IL 60004
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
800032509 01-7202-06 $984.72
Voucher Total $984.72
Cost distribution ledger classification if
claim paid under vehicle highway fund