HomeMy WebLinkAbout238228 10/15/14 a or t�qM
a'/ ,• CITY OF CARMEL, INDIANA VENDOR: 361174
"�; ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: S*****5,733.00*
r `; CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 238228
1�(TON-�` INDIANAPOLIS IN 46219-7900 CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 257572 5,733.00 OTHER EXPENSES
I Till
Invoice Date Invoice No.
305 south Post Rood 10/01/2014 0257572
Indianapolis, IN 46219-7900 Certified os o
Women Business Enterprise
(317)895-9708by the State of Iadioea and the �— Terms
Gty of Indianapolis AMBE Programs
www.worrelicorp.com Net 30 Days
Sold To Shipped To M
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES
30 W MAIN STREET-STE 220 305 SOUTH POST ROAD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
SCOTT CAMPBELL
Sales Customer Ship Shipped
Person ,1 Worrell P.O.N--SCOTT CAMPBELL lJobNo. 094104 (Date 09/29/2014 Ivia R & L TRANSFER
COC-F01 ! 170 Statements 32.40 BOX 5,508.00
At our warehouse in INDIANAPOLIS, IN
II I I
I
t
I
I I .
i I '
Freight: 225.00
Sales Tax: ( .00 -
A FINANCE CHARGE of 2%per month(24%,ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 5,733.00
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 # 145714 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
257572 01-7200-07 $5,733.00
I
Voucher Total $5,733.00
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 10/10/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/10/201, 257572 $5,733.00
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer