HomeMy WebLinkAbout227766 1/8/2014 �.F CITY OF CARMEL, INDIANA VENDOR: 00350856 Page 1 of 1
ONE CIVIC SQUARE LEHIGH SAFETY SHOES CHECK AMOUNT: $76.13
CARMEL, INDIANA 46032 PO BOX 644755
PITTSBURG PA 15264 CHECK NUMBER: 227766
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9244327 76 . 13 OTHER EXPENSES
.+ Lehigh Outfitters,LLC
Y
39 East Canal Street
MIGH Nelsonville,Ohio 45764
w-.vw.LehighOutfitters.com
Save up to 25%.Buy online with Custom Fit!
MITITTERS.com Tired of paper invoices?Ask for EIPP electronic Billing! Page: I
Call 1-800-444-4086
INV®ICE
Sold To: 085893 000 Ship To: 085893 000
CARMEL WATER&WASTEWTR CARMEL WATER&WASTEWTR
TREATMENT PLANT TREATMENT PLANT
760 3RD AVE. SW 9609 HAZEL DELL PKWY
CARMEL,IN 46032 317-571-2634
USA INDIANAPOLIS
- 3()J'05
Invoice#
Invoice _. Customer's Order Number Mobile-Unit Terms
Date
244327 12/05/1 EARLY BOOTS NET 030 DAYS
Sales Employee unit Merch Adj Sales Line Cash Company Employee
Slip Employee ID Name Department Style W Sze Qty Price Amt Amt Tax Frt Total Recv Subsidy Bal Due Ded
979806 MALLABER,BLAINE 04-6180 XW 11.5 1 84.59 84.59 8.46 .00 .00 76.13 .00 76.13 .00
Summary
- -Total Qty -Total Merchandise_Adjustment" Sales Tax - Sery Fee-- -Freight Cash Rec Company Subsidy Amount Due
1.0 84.59 8.46 .00 .00 .00 .00 76.13 76.13 USD
- -- - -- - - - - - - - - -- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -- - -
Please detach this portion and return to ensure proper credit with remittance. cut here
Invoice Order Invoice Customer
Number Customer PO No. Number Date Number Terms
9244327 YEARLY BOOTS 5225590 12/05/13 085893 1 NET 030 DAYS
Please Return With Payment To: Payment Received By 1/04/14 Amount Due 76.13 USD
Lehigh Outfitters,LLC
P.O.Box 644755 Amount Enclosed
PITTSBURGH,PA.15264-4755
08589392443271205130000000000076132
RETINV
VOUCHER # 137136 WARRANT # ALLOWED
350856 IN SUM OF $
LEHIGH OUTFITTERS, LLC
P.O. Box 644755
Pittsburgh, PA 15264-4755
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT ; Audit Trail Code
a
9244327 01-7202-05 $76.13
P
Voucher Total $76.13
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
i
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
350856
LEHIGH OUTFITTERS, LLC Purchase Order No.
P.O. Box 644755 Terms
Pittsburgh, PA 15264-4755 Due Date 12/31/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/311201,' 9244327 $76.13
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 p
Date Officer