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226297 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 364871 Page 1 of 1 c„wf ONE CIVIC SQUARE FACO LLC CHECK AMOUNT: $209.76 CARMEL, INDIANA 46032 8651 CASTLE PARK DR INDIANAPOLIS IN 46256-1270 CHECK NUMBER: 226297 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 27540 209 . 76 OTHER EXPENSES 8651 Castle Park Drive Invoice Indianapolis, IN 46256-1270 Date 11/5/2013 Phone # 317-842-FACO (3226) Fax # 317-842-4079 Invoice # 27540 Bill To Ship To CITY OF CARMEL-WATER WASTEWATER CITY OF CARMEL-WATER WASTEWATER UTILITIES UTILITIES 3450 W. 131 ST STREET 4615 E. 106TH STREET CARMEL, IN 46074 CARMEL, IN 46033 ATTN: JOHN FOB !Ship Via `TTerms Due Date Purchase Order No. Rep SHIP POINT UPS NET 30 12/5/2013 102513-1 BEH Item Description Ordered Shipped Rate Amount DS-VALMATIC Model 2DPT 2" Dual Port 1 1 202.00 202.00 Throttling Device FREIGHT 7.76 7.76 Faco stocks / distributes the following: Subtotal $209.76 Automatic Flow Control Valves Balance Valves Inhibited Glycol Sales Tax (7.0%) $0.00 Coil Piping Packages Link-Seal Expansion Joints Pipe Markers Gauges Pump Packages Total $209.76 Hose Kits Thermometers NOTICE:Any shortage or damaged goods claim must be reported to Paco in writing within-10-days-of receipt-of shipment.Thank you. 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 364871 FACO Purchase Order No. Terms INDIANAPOLIS, IN 46256-1270 Due Date 11/12/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/12/201: 27540 $209.76 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 Date Officer VOUCHER # 133338 WARRANT # ALLOWED 364871 IN SUM OF $ FACO INDIANAPOLIS, IN 46256-1270 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 27540 01-6200-02 $209.76 J Voucher Total $209.76 Cost distribution ledger classification if claim paid under vehicle highway fund