HomeMy WebLinkAbout233136 05/28/14 ,�.1q
'';� CITY OF CARMEL, INDIANA VENDOR: 316200
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $*******540.00*
s ,+`; CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 233136
�M„TON��p INDIANAPOLIS IN 46217 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1121211 540.00 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
U, Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1121211
C..
INDIANAPOLIS,IN 46217
Invoice Date Page
US 4/29/2014 16:09:33 1 of 1
ORDER NUMBER
317-783-4196 1129275
Bill To: Ship To:
CARMEL SEWER DEPARTMENT CARMEL SEWER DEPARTMENT
760 3RD AVE SOUTHWEST 9606 HAZEL DELL PARKWAY
CARMEL,IN 46032 INDIANAPOLIS,IN 46280
US US
Attn:LISA KEMPA Ordered By:PAT RIGDON
Customer ID: 100758
PO Number Term Description Net Due Date Disc Due Date Discount Amount
353 04-29-14 Net 30 DAYS 5/29/2014 5/29/2014 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
4/29/2014 09:20:50 1132291 DOUG KARST SDOYLE
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM a Item Description Price Price
unitsizel p Unit Size
Carrier: CUSTOMER PICK UP Tracking#:
1.00 1.00 0.00 EA M66 EA 540.0000 540.00
1.0 M-66 FISHER VALVE&BOX LOCATOR 1.0000
Item Note: SERIAL NUMBER:
Serial Number: 031403130
Total-Lines: I----- - - SUE-TOTAL: 540.00
M: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT D UE: 540.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
i -
ORIGINAL ---- - - ---- -— -- - — -
VOUCHER # 138069 WARRANT # ALLOWED
316200 IN SUM OF $
UTILITY SUPPLY CO INC.
6310 S HARDING ST
INDIANAPOLIS, IN 46217
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1121211 01-7200-02 $540.00
Voucher Total $540.00
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
i, 316200
UTILITY SUPPLY CO INC. Purchase Order No.
6310 S HARDING ST Terms
INDIANAPOLIS, IN 46217Due Date 5/20/2014
Invoice Invoice Description
�I
Date Number (or note attached invoice(s) or bill(s)) Amount
5/20/2014 1121211 $540.00
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