236560 08/27/14 +o•.G�Hb
CITY OF CARMEL, INDIANA VENDOR: 316200
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $*******464.57*
,. CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 236560
INDIANAPOLIS IN 46217 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1129514 464.57 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
U, Branch:03 USC NW INDY INVOICE
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6310 SOUTH HARDING STREET 1129514
��''. INDIANAPOLIS,IN 46217 Invoice Date Page
US 7/29/2014 16:13:10 1 Of 1
ORDER NUMBER
317-783-4196 1138143
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:JEFF COOPER
- - - _
---Customer ItD: 100758- - _-- - - - -- --- -
PONumber Term Description Net Due Date Disc Due Date DiscountAmount
JEFF COOPER Net 30 DAYS 8/28/2014 8/28/2014 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
7/28/2014 14:04:42 1141437 DOUG KARST SDOYLE
Quantities Pricing
Rein ID UOM Unit E.Wended
Ordered Shipped Remaining UOMItem Description Price Price
Unit Size q Unit Size
Carrier: CUSTOMER PICK UP Tracking#:
1.00 1.00 0.00 EA 6CLEANCHECK EA 289.8615 289.86
1.0 6 EXTENDABLE BACKWATER VALVE 1.0000
1.00 1.00 0.00 EA 83034TPLUG EA 37.7385 37.74
1.0 8 3034 THREADED PLUG 1.0000
1.00--.- .- 1.00 0.00-EA 83034FEMALE EA 53.7231 53.72
1.0 8 3034 FEMALE ADAPTER 1.0000
14.00 14.00 0.00 FT 8SDR35 FT 4.2933 60.11
1.0 8 SDR-35 GASKET JOINT PVC SEWER PIPE 1.0000
10.00 10.00 0.00 FT 4DWV10BE FT 2.3143 23.14
1.0 4 DWV SCH40 BELLED END PIPE 10' 1.0000
Total Lines: 5 ,SUB-TOTAL: 464:57
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNTDUE. 464.57
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER # 145365 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
1129514 01-7202-06 $464.57
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Voucher Total $464.57
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
316200
UTILITY SUPPLY CO INC. Purchase Order No.
6310 S HARDING ST Terms
INDIANAPOLIS, IN 46217 Due Date 8/19/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/19/2014 1129514 $464.57
4
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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 icer