234150 06/25/14 +y..Coq*
aY ,� CITY OF CARMEL, INDIANA VENDOR: 361174
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $*****1,640.53*
.�_* CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 234150
9.y;�TON�°,`` INDIANAPOLIS IN 46219-7900 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 253104 1,640.53 OTHER EXPENSES
Pg
305 South Post Road ` in 06/Ot6/2014 In0253104
Indianapolis, IN 46219-7900 certified as
o
Women Business Enterprise
(317)895-9708 by the stove of Indiana and the Terms
City of Indianapolis ANUIBE programs
www.worrellcorp.com Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SUE MAKI
30 W MAIN STREET-STE 220 WATER-WASTEWATER UTILITIES
CARMEL, IN 46032 30 W MAIN STREET, STE 220
CARMEL, IN 46032 SUE MAKI
Sales _ Customer 4 —_.. Job Ship Shipped
Person J Worrell Pa.Ne. SUE MAKI _
No. 092627 Aeto 06/03/2014 ale UPS GROUND
COC-INCCR 300 CCR Annual Report, Insert 54.10 M 16.23
To: CITY OF CARMEL
Attn: SUE MAKI
WATER - WASTEWATER UTILITIES
CARMEL, IN 46032 (0001)
CITY OF CARMEL
COC-INCCR 28,000 CCR Annual Report, Insert 54.10 M 1,514.80
To: VISION DIRECT
Attn: GINA'KING-CITY OF CARMEL Inser
2222 ENTERPRISE PARK PLACE I
INDIANAPOLIS, IN 46218 (VISI) I
VISION DIRECT
aA
Freight: 109.50
I
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 1,640.53
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.
VOUCHER # 135428 WARRANT# ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
�I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
�r
ii
253104 01-6750-07 $1,640.53
i
r
I i
Voucher Total $1,640.53
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 6/17/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2014 253104 $1,640.53
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 Office