229255 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CHECK AMOUNT: $15,186.45
CARMEL, INDIANA 46032 305 SOUTH POST ROAD
a ,o� INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 229255
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 248079 9, 491 . 53 OTHER EXPENSES
651 5023990 248079 5, 694 . 92 OTHER EXPENSES
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305 South Post Road 2/2014 0248079
Certified a
-7900 as
Indianapolis, IN 46219 Women Business Enterprise
(317)895-9708 (it by the St,te of Wi�and the Terms
V of Inchanopolis MUM Pmgmms
www.worrellcorp.com Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET- STE 220 WATER - WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
CARMEL, IN 46032 SCOTT CAMPBELL
Sales Customer Job Ship Shipped
I person J Worrell IP.O.No. Scott Campbell iNct. 090902 IDet. 12/31/2013 iv---- U.S. Mail
0
COC-PROC 11 City Of Carmel - Utility Mailings 1 5639.81 lEACH 5,639.81
COC-POST 1 City of Carmel - Postage for Mailings 1: 9546.64;EACH 9,546.64
For December 2013
Freight: .00
Sales Tax: 00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 15,186.45
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
Please detach this receipt along perforation and enclose with remittance:
0 ®mall -&
Solutions at Work P.
printing - marketing office products
Invoice Number 0248079
126952
CITY OF CARMEL Invoice Date 01/22/2014
WATER-WASTEWATER UTILITIES
30 W MAIN STREET - STE 220 Amount Due. 15,186.45
CARMEL, IN 46032
1�2
it
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 1/22/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/22/2014 248079 $9,491.53
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 # 134066 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
248079 01-6360-07 $9,491.53
i
pKc
1
Voucher Total $9,491.53
Cost distribution ledger classification if
claim paid under vehicle highway fund
lax
Invoice Date Invoice No.
305 South Post Rood 01/22/2014 0248079
Indianapolis, IN 46219-7900 certified os a
Ulomen Business Enterprise
(317)895-9708 a'the s,aa of 1,4a adv"
Gty of Ind—opolis MUSE Prgrans em1S
www.worrellcorp.com Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET- STE 220 WATER - WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
Illttltllttllttttlltttltllltttlltttlltttllttltll CARMEL, IN 46032 SCOTT CAMPBELL .
Sales Customer Job Ship shww
J Worrell P.O.No. Scott Campbell INo. 090902 (Date 12/31/2013 Inca U.S. Mail
COC-PROC 11 City of Carmel - Utility Mailings 5639.81-EACH Q 5;639:81
COC-POST 11 City of Carmel - Postage for Mailings 9546.641 EACH M 9,546.64
I ! I
For December 2013 !
t
I
f
Freight: ° 's 00
f.
Sales Tax: .00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 15,186.45
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S.Funds. Thank you for your continued 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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 2/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/4/2014 248079 $5,694.92
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
r
VOUCHER # 137373 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
248079 01-7360-07 $5,694.92
1\ .
Voucher Total $5,694.92
Cost distribution ledger classification if
claim paid under vehicle highway fund