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234434 07/01/2014
(9, CITY OF CARMEL, INDIANA VENDOR: 361174 ONE CIVIC SQUARE WORRELL CORPORATION CHECKAMOUNT: $****17,818.70* CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 234434 INDIANAPOLIS IN 46219-7900 CHECK DATE: 07/01/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 253926 11,136.69 OTHER EXPENSES 651 5023990 253926 6,682.01 OTHER EXPENSES s ® e Invoice Date Invoice No: 305 South Post Road 06/24/2014 0253926 Indianapolis, IN 46219-7900 Certified as a , P women Business Enterprise (317)895-9708 by the State of Indiona and the lr Terms of Indianapolis N11I1BE Programs www.worrelicorp.com Net 30 Days Sold To Shipped To 0001 CITY OF CARMEL CITY OF CARMEL WATER-WASTEWATER UTILITIES SCOTT CAMPBELL 30 W MAIN STREET-STE 220 WATER -WASTEWATER UTILITIES CARMEL, IN 46032 760 3RD AVE SW Illnllllnlllnllllnllllllnrllnlllnllllullllrl CARMEL, IN 46032 SCOTT CAMPBELL files .-- Ctfstomer :- Jobe -" ,$hip shipped Bison -. J Worrell .IPo No=. Scott Campbell' INo: 093075. :Ibate- 05/31%201�4�_,vIa-- U:S. Mall _ - •e- © Descriptioh ®® • COC-PROC # 1 City of Carmel - Utility Mailings i 6403.74 'EACH 6,403.74 COC-POST i 11 City of Carmel - Postage for Mailings ; 11414.96 'EACH 11,414.96 i E j May 2014 s i f I i I E I j } Freight: I 00 I Sales Tax: -00 8 F 1 FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 17,818.70 MI claims or returns must be made within 30 days of receipt and require a return authorization. 411 invoices are payable in U.S. Funds. Thank you for your continued business. A, Please detach this receipt along perforation.and enclose with remittance - ; �u�r�r�ll of Work printing marketing,• office products Invoice Number 0253926 126952 CITY OF CARMEL invoice Da#e 06/24/2014 ` WATER-WASTEWATER UTILITIES 30 W MAIN STREET - STE.220 Amount Due 17,818.70 CARMEL, IN 46032 .„ Eng1§0d, iY Remit To: o e •• i -' - Indianapolis, 46219-7900 i VOUCHER # 138319 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 'I 253926 01-7360-07 $6,682.01 411, b S � I Voucher Total $6,682.01 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 CORP Purchase Order No. 305 SOUTH POST ROAD Terms INDIANAPOLIS, IN 46219 Due Date 6/26/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/26/2014 253926 $6,682.01 I herebycertify that the attached invoice(s), or bills is are true fY ( ) (are) and correct and I have audited same in accordance/with I}Cp 5-11-10-1.6 Date Officer ,L u, g. Involco Dnto Inv No. 305 South Post Rood 06/24/2014 0253926 Indianapolis, IN 46219-7900 certified os a Women Busines lUs Enterprise (317)895-9708 by the state oflndianoand the ~ ' �` Turno Ory of Indianapolis MN16E Program tuww.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 I�Inl�llnll�nnllnrl�llln�llnrllnrllnnl�l�l CARMEL, IN 46032 SCOTT CAMPBELL 9nlee Cuatomor Jot) 6hlp IS111ppodP.m.. J Worrell Pa,No. -Scott Campbell Via. -093075 otat4 05/31/2014 VnU.S. Mail COC-PROC 1 City of Carmel - Utility Mailings 6403.74 EACH 6,403.74— COC-POST 1 City of Carmel - Postage for Mailings 11414.96 EACH 11,414.96 May 2014 PCI` 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 17,818.70 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 # 135526 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 253926 01-6360-07 $11,136.69 'I Voucher Total $11,136.69 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 i 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 6/26/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/26/2014 253926 $11,136.69 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 5-11-1.0-1.6 & A, /y Date Officer