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225871 11/05/2013
CITY OF CARMEL, INDIANA VENDOR: 359278 Page 1 of 1 ONE CIVIC SQUARE JOBSITE SUPPLY INC CHECK AMOUNT: $435.00 CARMEL, INDIANA 46032 PO BOX 1627 o�ao INDIANAPOLIS IN 46206-1627 CHECK NUMBER: 225871 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236400 531915 435 . 00 PAINT ..Q © °o O X04 nO 0 SALES �ti JOISITE ° 0$ a00 INVOICE a o. L oQ noon 0-bl!C, ooa ° p.00°o p0 fl CONSTRUCTION IDEAS AT WORK (317) 684-7474, Fax (317) 684-7468 Invoice Number: 531915 www.jobsitesupply.com REMIT TO: PO Box 1627, Indianapolis, IN 46206-1627 Invoice Date: 10/17/13 Page: 1 Bill Ship To: BONNIE CALLAHAN To: CITY OF CARMEL CITY OF CARMEL CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W 131ST STREET 3400 W 131ST STREET WESTFIELD IN 46074 WESTFIELD IN 46074 Customer ID C000407 Ship Via CALL 888-889-4440 P.O. Number Ship Date 10/08/13 P.O. Date 10/08/13 Due Date 11/16/13 Our Order No. 488346 Terms NET 30 DAYS SalesPerson JERRY BECHER Entered By RH1 Item/Description Unit Order Qty Quantity Unit Price Total Price THOROCOAT SUMMER WHITE FINE PAIL 2 2 180.00 360.00 GRIT 5GL SHIPPING & HANDLING EACH 1 1 75.00 75.00 CALL 650-8282 WHEN RECIEVED JSPO-75635/BASF �G JSPO-75635/BASF :.r. Amount Subject to Amount Exempt Subtotal: 435.00 Sales Tax from Sales Tax Invoice Discount: 0.00 0.00 435.00 Sales Tax: 0.00 *A finance charge of 1 1/2%per month will be charged to accounts overdue over 60 days. Total: 435.00 JS 01 0313 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)) 10/17/13 531915 $435.00 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 Jobsite Supply IN SUM OF $ P.O. Box 1627 Indianapolis, IN 46206-1627 $435.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 531915 I 42-364.001 $435.00 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 Th r day obey 31, 2013 Stree ommisslionen er Title Cost distribution ledger classification if claim paid motor vehicle highway fund