229231 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $292.46
s'�t CARMEL, INDIANA 46032 6310 S HARDING ST
INDIANAPOLIS IN 46217 CHECK NUMBER: 229231
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1114475 8 . 46 OTHER EXPENSES
601 5023990 1114971 86 . 93 OTHER EXPENSES
601 5023990 1114972 197 . 07 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
r` Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1114972
C4 INDIANAPOLIS,IN 46217 In�16:08:36
Page
US 1/31/ I of 1
ORDER NUMBER
317-783-4196 1122173
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL, IN 46074
US US
Attn:K LOVEALL Ordered By:SMITH.TERRY
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Antount
SMITTY-1/31/2014 09:25:19 Net 30 DAYS 3/2/2014 3/2/2014 0.00
Order Date Pick Ticket No Primary Salesrep Nante Taker
1/31/2014 09:24:21 1125297 ANDY NUGENT ZSTIERWALT
Quantities Pricing
/ten?/D UOd1 Unit Extended
Orderer/ Mu ed Remaining UOA1 /tent DesCriptian Price Price
nP
Unit
a Unit.Size
Carrier: OUR TRUCK Tracking#:
1.00 1.00 0.00 EA 6X12MJSSD EA 104.8667 104.87
1.0 6 X 12 MJ SOLID SLEEVE DOMESTIC 1 0000
3.00 3.00 0.00 EA 6ML EA 30.7333 92.20
1.0 6 LUG STYLE RETAINER FOR DUCTILE 1.0000
Total Lines: 2 SUB-TOTAL: 197.07
TAX: 0.00
A FINANCE CHARGE computed at a petiodic rate of 11/2%per month(18% AMOUNT DUE: 197.07
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
r
INVOICE
UTILITY SUPPLY COMPANY
(-' Branch: 01 USC 1NDY INVOICE
.,S .;
6310 SOUTH HARDING STREET 1114475_ i
INDIANAPOLIS,IN 46217 Invoice Date Page
J —
US 1/24/2014 1307:04 1 of 1
ORDER NUMBER
317-783-4196 1121304
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL, IN 46074
US US
Attn:K LOVEALL Ordered By: BRUCE BUCKSOT
Customer ID: 100753
PO Number Term Description Net Due Date Disc Dire Date Discount Amount
REGISTER PINS Net 30 DAYS 2/23/2014 2/23/2014 0.00
Order Date Pick Ticket No PrintarI?Salesrep A4rme Taker
1/16/2014 15:03:29 1124463 ANDY NUGENT BCHRISTIANSEN
Quantities
/tem/D Pricing
UO`ht Unit Extended
Ordered Shipped Remaining UOA-I c /tem Description Price Price
Unil,1'ite Unit.Site
Carrier: SALESMAN'S TRUCK Tracking k:
50.00 50.00 0.00 EA ..9106-001 EA 0.1692 8.46
1.0 REGISTER SEAL PIN L/P BLACK 1.0000
Total Lines: l
SUB-TOTAL: 8.46
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT D UE: 8.46
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAPS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
r Branch: 03 USC NW 1NDY INVOICE
J
1114971
6310 SOUTH HARDING STREET
` INDIANAPOLIS,IN 46217 InvoiceDate Page
. --
US 1/31/201416:07:59 ] of]
ORDER NUMBER
317-783-4196 [ — 1122063
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL,1N 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:SMITH JERRY
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
SMITTY Net 30 DAYS 3/2/2014 3/2/2014 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
1/29/2014 14:40:33 1125176 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOAf Unit Extended
UOAf c Nem Description Price Price
Ordered .Shipped Remaining Unit Size Unit Size
Currier: OUR TRUCK Tracking#:
1 00 1 00 0.00 EA 226-023812-000 EA 55.6000 55.60
1.0 2 X 12 SMITH BLAIR 235-263 L0000
REPAIR CLAMP
1.00 1.00 0.00 EA 226-023807-000 EA 31.3294 31.33
1.0 2 X 7-1/2 SMITH BLAIR 235-263 1.0000
REPAIR CLAMP
Total Lines: 2 SUB-TOTAL: 86.93
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%pet month(18% AA�OUNT DUE: 86.93
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
I
ORIGINAL
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 2/5/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5/2014 1114972 $197.07
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 # 134045 WARRANT # ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1114972 01-6200-06 $197.07
II Ltj-71 " %.93
h l 4ya �S
Voucher Total a a yl� $"011 �
Cost distribution ledger classification if
claim paid under vehicle highway fund