225938 11/05/2013 voided a CITY OF CARMEL, INDIANA VENDOR: 00350235 Page 1 of 1
ONE CIVIC SQUARE PIONEER RESEARCH
CARMEL, INDIANA 46032 97 FOSTER ROAD,STE 5 CHECK AMOUNT: $622.50
MOORESTOWN NJ 08057
CHECK NUMBER: 225938
CHECK DATE: 11/512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4236500 235936 622 . 50 SALT & CALCIUM
C 0 R P 0 R R T 1 0 N
3(q U.S.CUSTOMERS REMIT TO: CANADIAN CUSTOMERS REMIT TO:
3110 NORTH 19TH AVENUE P.O.BOX 56100,POSTAL STATION A
PHOENIX,AZ.85015 TORONTO,ONTARIO M5W 41-1
PH #(602)230-0012 o FAX#(602)230-7444
WEBSITE:PION EERRESEARCHCORPORATION.COM
HNvoHcTF
BILL TO:
ATTN:ACCOUNTS PAYABLE INVOICE # 235936
CARMEL CITY OF DATE: 10/2/2013
1 CIVIC SQUARE TERMS: NET 15
CARMEL IN 46032 P.O. #
V
S.P. #
SHIP TO: 24204
CUSTOMER#
— — — — --- 180181 ---
ATTN:JEFF BARNS
CARMEL CITY OF
1 CIVIC SQUARE
AR M E L I N-460
QUANTITY U/M PROD # DESCRIPTION N/C UNIT$ TOTAL$
100 LBS 2027 BLUE FIRE 5.49 549.00
L U
SHIP DATE: TOTAL PRODUCT$
10/2/2013 NOV 4 2013 � 549.00
SHIP VIA: CHEAPEST ADJUSTMENT$
$
GST REGISTRATION#82431 3076 RT0001 By FREIGHT 73.50
FEDERAL I D # 86-0632264 TAX$
PLEASE INCLUDE INVOICE NUMBER ON YOUR CHECK TOTAL ORDER$ 622.50
A SERVICE CHARGE OF 1.57o PER MONTH WILL BE ADDED TO THE UNPAID BALANCE ON ALL ACCOUNTS NOT PAID W FULL CITH I N TERMS
NO RETURNS ACCEPTED WITHOUT PRIOR WRITTEN AUTHORIZATION
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pioneer Research Corporation
IN SUM OF $
3110 North 19th Avenue
Phoenix, AZ 85015
$622.50
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 235936 l
I hereby certify that the attached invoice(s), or
I �� p5 $622.50
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
Monday, November 04, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/02/13 235936 $622.50
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
20
Clerk-Treasurer