237497 09/23/14 CITY OF CARMEL, INDIANA VENDOR: 368517
® ONE CIVIC SQUARE PATRIOT PUMPS CHECK AMOUNT: $*****1,950.00*
CARMEL, INDIANA 46032 2210 SCOTT LAKE ROAD CHECK NUMBER: 237497
WATERFORD MI 48328 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 01-6955-0 1,950.00 OTHER EXPENSES
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pATR10T PUMP .� 2210 Sa ttcLake Rd. 877'3 Zionsville R�. INVOICE
ELWatertbrd,MI 48328 Indianapolis,IN 46268 Date � Transaction no
(248)074.0000 (317)875-7807
(2-08)674.OW4 (317)870-0066 Fax 08/18/2014 01-6955-0
Tog Free(877)744-7867-Remittance addres lme Page: 1 of 1
B CITY OF CARMEL S
1 9609 HAZELDELL PKWY H
� INDIANAPOLIS IN 46280 F
JOE FAUCET
T Tel: 317-571-2634 T
O O
Customer no 110886 Processed by Michelle Wontorcik
_
Customer P.O. J_M8_6_14_-A Sales Rep Bob Franklin_
Foreman Delivery Date 08/18/2014
Project Number Return Date 08/18/201.4 _
Reservation
Item Description Qty Type Price Total
ORDER 12"HDPE CUSTOM MADE PIPE- 1 S 1,950.00 1,950.00
Total Weight of Equipment 0
Shipping Notes � - _ Sales 1,950.00
DUE UPON RECEIPT Subtotal 1,950.00
CREDIT CARDS ACCEPTED Total 1,950.00
Contact: Tel: Balance Due 1,950.00
Receipt Summary
Date Amount
08/18/2014 Deposits 0.00
08/18/2014 Charged to account 1,950.00
Paid 0.00
08/27/2014 Amount Due 1,950.00
VOUCHER # 145591 WARRANT # ALLOWED
368517 IN SUM OF $
PATRIOT PUMPS
2210 SCOTT LAKE RD.
WATERFORD, MI 48328
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
01-6955-0 01-7202-06 $1,950.00
i
Voucher Total $1,950.00
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
368517
PATRIOT PUMPS Purchase Order No.
2210 SCOTT LAKE RD. Terms
WATERFORD, MI 48328 Due Date 9/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2014 01-6955-0 $1,950.00
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with 105. -11-10-1.6
Date Officer