240157 12/09/14 / tCITY OF CARMEL, INDIANA VENDOR: 361174
.I; ONE CIVIC SQUARE WORRELL CORPORATION
CHECK AMOUNT: S"""15,831.62"
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 240157
9y __ INDIANAPOLIS IN 46219-7900 CHECK DATE: 12/09/14
«ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 259599 15,831.62 OTHER EXPENSES
e
Invoice Date Invoice No.
305 south Post Rood 12/01/2014 0259599
Indianapolis, IN 46219-7900 Certified as o
Women BusinessEnterprise
(317)895-9708 by the State of Ind ona and the Terms
C'ty of Indionopolis MOBE Programs "`���
www.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
CARMEL, IN 46032 SCOTT CAMPBELL
Safes Customer Job ship Shipped
Person J Worrell Y Po_Ne,_ _Sco#t_Carnpbe.11 No. 0.95280 Date 1-0/31[201-4 -Ya_ U.S_Mail Mail .
Item -
No,
�- • • •
COC-PROC 11y City of Carmel - Utility Mailings 5929.78 EACH i 5,929.78
COC-POST 1 City of Carmel - Postage for Mailings 9901 .84 EACH 9,901.84
I 4
I
i
For October 2014 '
Freight: .00
Sales Tax: i00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 15,831.62
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 # 146203 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
259599 01-7200-07 $9,901.84
259599 01-7360-07 $5,929.78
I
Voucher Total $15,831.62
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 12/8/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2014 259599 $15,831.62
hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance/ywith IC 5-11-10-1.6
Date Officer