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232303 05/07/14 r t�q '� ''• CITY OF CARMEL, INDIANA VENDOR: 367510 s ONE CIVIC SQUARE OCEANQUIP LLC CHECK AMOUNT: $*******710.83* CARMEL, INDIANA 46032 9904 MARTHA LANE CHECK NUMBER: 232303 RIVER RIDGE LA 70123 CHECK DATE: 05/07/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 14-124 710.83 MATERIALS & SUPPLIES Oceanquip,LLC Invoice 9904 Martha Lane River Ridge,LA 70123-1516 Date 4/16/2014 Phone# 504 738 7833 jfowler307@aol.com Invoice# 14-124 Fax# 504 738 7833 oceanquipllc.com Bill To Ship To City of Carmel City of Carmel 9609 Hazel Bell Pkwy 9609 Hazel Bell Pkwy Indianapolis,IN 46280 Indianapolis,IN 46280 P.O. # S13970 Ship Date 4/16/2014 Terms Net 15 Due Date 5/1/2014 Other Item Description Qty Price Amount 841261. Assembly 2 225.00 450.00 160559 poly. 12 pin male poly jacket 2 120.00 240.00 UPS Freight 20.83 20.83 We appreciate every order! Subtotal $710.83 Sales Tax (0.0%) $0.00 Total $710.83 Oceanquip,LLC — - -- - - -- - - -- - — - - — PaymentslCredits-- � $o-oo - Balance Due $710.83 VOUCHER # 137943 WARRANT # ALLOWED 367510 IN SUM OF $ OCEANQUIP, LLC 9904 MARTHA LANE RIVER RIDGE LA 70123-1516 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code I 14-124 01-7200-02 $710.83 I Voucher Total $710.83 ,I II Cost distribution ledger classification if claim paid under vehicle highway fund 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 367510 OCEANQUIP, LLC Purchase Order No. 9904 MARTHA LANE Terms RIVER RIDGE, LA 70123-1516 Due Date 4/29/2014 Invoice Invoice De'scription Date Number (or note attached invoice(s) or bill(s)) Amount 4/29/2014 14-124 $710.83 f i I 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