235629 08/06/14 CITY OF CARMEL, INDIANA VENDOR: 368517
ONE CIVIC SQUARE PATRIOT PUMPS CHECK AMOUNT: $'""`17,867.00'
CARMEL, INDIANA 46032 PO BOX 635460 CHECK NUMBER: 235629
CINCINNATI OH 45263 CHECK DATE: 08/06/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 01-6817-0 17,867.00 OTHER CONT SERVICES
Ho
TRI �� 2210 Sn tt I- In71n,�peus INVOICE
221D Soatt Leke Rd. 97'75 Zlcnevllle Rd.
1Naterbrd,MI 4saw III til NHAVOft,IN 46268 Date Transaction no
PU (248)974-0000 (817)876-7807
{248)674-0004 W7)876-0466 Fax 06/30/2014 01-6817-0
Tull Free(277)744-7967-Renmltianae address;P.O. Box 636464,CIn clnimtl,OH 46263 Page: 1 of 1
B CITY OF CARMEL S JOE FAUCET
1 9609 HAZELDELL PKWY H
L INDIANAPOLIS IN 46280 1 l
JOE FAUCET
T Tel: 317-571-2634 T
0 O
'Customer no 10886 Processed by Michelle Wont orcik
Customer P.O. — - Sales Rep Bob Franklin--__
Foreman Delivery Date 06/30/2014
Project Number Return Date 06/30/2014 r
Item I Description Qty-. Type_ Price Total
ORDER 20'WELL INCLUDING SCREEN, DRILLING, 1 S 17,567.00 17,567.00
PROBE, CONTROL AND PEA GRAVEL
LABOR MOB/DEMOB 1 S 300.00 300.00
Total Weight of Equipment 0
Shipping Notess
17,867.001
DUE UPON RECEIPT ------ - - l
1 Subtotal 17 86.7 00 r
CREDIT CARDS ACCEPTED I I
1 Total 17 867 00 l
Contact:JOE FAUCET Tel: -- 4
Balance Due i 17,867.00 1
Receipt Summary "
Date Amount
06/30/2014 Deposits 0.00
06/30/2014 Charged to account 17,867.00
Paid 0.00
07/16/2014 Amount Due 17,867.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Patriot Pumps
IN SUM OF$
P.O. Box 635460
Cincinnati, OH 45263
$17,867.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 1 01-6817-0 I 43-509.001 $17,867.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
r' ay, ust 1 31, 2014 n It L- All
MBO I' r
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/30/14 01-6817-0 $17,867.00
1 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
, 20
Clerk-Treasurer