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227682 1/8/2014
f CITY OF CARMEL, INDIANA VENDOR: 054300 Page 1 of 1 ONE CIVIC SQUARE CENTRAL SUPPLY CO, INC CARMEL, INDIANA 46032 CHECK AMOUNT: $303.56 PO BOX 1982 INDIANAPOLIS IN 46206 CHECK NUMBER: 227682 CHECK DATE: 1/8/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 5606017 303 . 56 OTHER EXPENSES Central Supply Co. , Inc . entral Supply C P* 0. Box 1982 82IN 46206 INVOICE Telephone : 317-898-2411 001 >> RE"" >' 1 P O.;f�UMBER SHI P IA_: .._ .. DJ120513 Our Truck Prepaid PA'fMENT TERMS <1OB n>AME/NU:M8ER SESMN 022 SCiL©T!3 SH1P TO .. . CARMEL UTILITIES CARMEL UTILITIES 3450 W 131ST ST 4915 E. 106TH STREET CARMEL, IN ATTN: WATER DEPT. / MAINT. 46074 CARMEL, IN 46033 iNVQfCE:. DATE S1{1P DATE t3Uf f7N CkfSTQNiER NO -- _ ........5606017 12/19/13 12/18/13 1/31/14 I 200334 I` ITEM NO 13ESCRtPT30N QUANr.f3T::: EJ/M l�N1E PRICE:: AMOUNT /9HB02136179HAYWARD EK62N MOUNTING 2 EA 146 . 7800 293 . 56 KIT, F 2-1/211 TB SERIES BALL VALVE TO EPM3 SERIES ACTUATOR CSCO80373 $10 DELIVERY CHARGE 1 DEL 10 . 0000 10 . 00 *** If you pay by 1/10/14, you owe: 300 . 5 aM.t.u.w:r:` 303 . 56 .......................................... .......................................... .......................................... .......................................... TAX::: . 00 FREIGHT . 00 ...........<.OTH ER; 00 .......................................... ... ............................... ........ 2%per month service charge will be made on past due accounts. We hereby certify that these goods were produced in compliance with all applicable requirements of sections 6,7,and 12 of the Fair Labor Standards Act asP1:MV O,UNTT DUE.:., 303 . 56 ammended,and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. EXCLUSION OF WARRANTIES: The factory warranty constitutes the only warranty with respect to these goods. Seller and Purchaser hereby agree that the implied warranties for MERCHANTABILITY and fitness for a particular purpose and all other warranties (except for the factory-warranty), express or implied, include,any warranties made by affirmation, promise, description, or sample are EXCLUDED from this transaction and shall not apply to the goods sold. 11INCINV All items marked with an'I*p are NON NSF61-G compliant and are non-returnable after 3/31/13,subject to approval,and may not be installed in a potable water system after 1/4/14. VOUCHER # 133667 WARRANT # ALLOWED 54300 IN SUM OF $ CENTRAL SUPPLY CO, INC PO BOX 1982 INDIANAPOLIS, IN 46206 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR 1 Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5606017 01-6200-04 $303.56 Voucher Total $303.56 Cost distribution ledger classification if claim paid under vehicle highway fund _?0/3 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 54300 CENTRAL SUPPLY CO, INC Purchase Order No. PO BOX 1982 Terms INDIANAPOLIS, IN 46206 Due Date 12/27/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/27/201: 5606017 $303.56 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