232728 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 357833
t I ONE CIVIC SQUARE ALLIED LOCKE INDUSTRIES CHECK AMOUNT: S*****1,348.31
?� CARMEL, INDIANA 46032 1088 CORREGIDOR ROAD CHECK NUMBER: 232728
PO BOX 509 CHECK DATE: 05/21/14
DIXON IL 61021-0509
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 594242 1,348.31 OTHER EXPENSES
n6AALLIED- LOCKE INDUSTRIES Page:
INCORPORATED 000001
1088 Corregidor Road • P.O. Box 509 • Dixon, Illinois 61021-0509 INVOICE
Toll Free Ph: (800)435-7752 Local Ph: (815)288-1471
Toll Free Fax: (800)462-3130 Local Fax: (815)288-7945
Website:www.alliedlocke.com
Dixon Illinois Division Only
sold to: ship to:
CARMEL UTILITIES WATER & WASTE CARMEL UTILITIES WATER & WASTE
760 THIRD AVENUE SW SUITE 110 9609 HAZEL DELL PARKWAY
CARMEL, IN INDIANAPOLIS, IN
46032 46280
.-.
342813 03 R q-nAIAV AD
ri VIA =Ii.1 0-1
024 17
12912-34 IL70 L935 ;41/2 9/;;
ITEM NUMBER, UOM QTY'S:
1
.-. BACKORDERED
EXTENDEDDESCRIPTION PRICES: PER UNIT
FAX//TRISH
1 EA 26 26 0
MISC/WEARSHOE 3.76 97.76 97.76
5.5" UHMW WEAR SHOE
2 EA 13 . 13 . 0
MISC/FLIGHTS 80.10 1,041.30 1,041.30
3 X 8 X 204" FRP FLIGHT
CUT TO LENGTH ONLY
sales Amount 1,139.06
Misc. Charges .00
Freight 209.25
22.10C TMv _on
TERMS: INVOICE TOTAL
NET 30 $1,348.31
DIXON''ILLINOIS DIVISION ONLY Form#03145 Rev.11113
VOUCHER # 138053 WARRANT # ALLOWED
357833 IN SUM OF $
ALLIED LOCK
1088 CORREGIDOR RD
DIXON, IL 61021
Carmel Wastewater Utility
I
ON ACCOUNT OF APPROPRIATION FOR
'i
i'
Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
594242 01-7202-06 $1,348.31
I
I
Voucher Total $1,348.31
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
357833
ALLIED LOCK Purchase Order No.
1088 CORREGIDOR RD s Terms
DIXON, IL 61021 Due Date 5/15/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2014 594242 $1,348.31
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 EAT icer