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266306 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 362459 Page 1 of 1 ONE CIVIC SQUARE FLUID AIR ENGINEERING CHECK AMOUNT: $763.69 CARMEL, INDIANA 46032 5775 WEST 74TH STREET INDIANAPOLIS IN 46278 CHECK NUMBER: 226306 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 13664 763 . 69 OTHER EXPENSES • ' • ring, 5775 West 74th Street Indianapolis, IN 46278 317-297-0951 Phone/Fax 317-297-1680 INVOICE TO: CARMEL WASTEWATER UTILITIES INVOICE NUMBER 13664 ATTN: PAUL ARNONE INVOICE DATE November 8, 2013 9609 HAZEL DELL PARKWAY OUR ORDER NO. 13-19564 INDIANAPOLIS IN 46280 YOUR P.O. NO. S13770 TERMS NET 30 SHIPPED TO: SALES REP BRIAN CARMEL WASTE WATER TREATMENT PLANT SHIPPED VIA HOLLAND 9609 HAZEL DELL PARKWAY F.O.B. SH PT INDIANAPOLIS IN 46280 PREPAID or COLLECT FRT PP&A ATTN.- B. BALLABER Sales Tax Rate: 0.00% ©I -7 aoa Q QUANTITY DESCRIPTION UNIT PRICE AMOUNT 12 PART#402993003 FLTR, 24X24X6 54.50 654.00 *If this is a tax exempt purchase, please provide a copy of your tax exemption SUBTOTAL 654.00 certificate with payment* FREIGHT 109.69 SALES TAX 0.00 $763.69 MAKE ALL CHECKS PAYABLE TO: PAY THIS Fluid Air Engineering, Inc. AMOUNT Attn:Accounts Receivable U.S. DOLLARS 5775 W. 74th Street Indianapolis, IN 46278 THANK YOU FOR YOUR BUSINESS! 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 362459 FLUID AIR ENGINEERING Purchase Order No. 5775 WEST 74TH STREET Terms INDIANAPOLIS, IN 46278 Due Date 11/14/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/14/201, 13664 $763.69 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 Date Officer VOUCHER # 136823 WARRANT # ALLOWED 362459 IN SUM OF $ FLUID AIR ENGINEERING 5775 WEST 74TH STREET INDIANAPOLIS, IN 46278 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 13664 01-7202-06 $763.69 Voucher Total $763.69 Cost distribution ledger classification if claim paid under vehicle highway fund