241184 01/13/15 �r
CITY OF CARMEL, INDIANA VENDOR: 361 174
® ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $*****1,760.66*
f. C�q�?a CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 241 184
9.yiroN�o. INDIANAPOLIS IN 46219-7900 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 R4345002 32130 0257612 1,760.66 STORM WATER PROGRAM I
INVOICE DATE INVOICE NUMBER
w o rr(3,1 I c aIJ IBJ INVOICE 10/03/2014 0257612
r Solutions at Work 1111 CUSTOMER NUMBER CUSTOMER ORDER NO.
126952 STORM WATER
305 South Post Road
Indianapolis, IN 46219 ORDERED BY: TOTAL:
SCOTT CAMPBELL 1,760.66
SOLD TO SHIPPED TO
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES WATER-WASTEWATER UTILITIES
30 W MAIN STREET-STE 220 30 W MAIN STREET,STE 220
CARMEL,IN 46032 CARMEL,IN 46032
PLEASE PAY FROM THIS INVOICE.NO STATEMENT WILL BE RENDERED.WE SINCERELY APPRECIATE YOUR BUSINESS.
rUR ORDER NO DATE SHIPPED SHIPPED VIA SALESPERSON TERMS
094183 09/30/2014 BEST AVAILABLE J Worrell Net 30 Days
TY ORDERED QTY SHIPPED DESCRIPTION UNIT PRICE . UNIT. AMOUNT . . .
26,500 26,500 Insert,Letter-Storm Water 49.27 M 1,305.66
COC-INS006
26,000 26,000 Ink Jet Message on Outside Envelope 17.50 M 455.00
MESSAGE
i
NET SALE
COMMENTS: FREIGHT .00
SALES TAX .00
INVOICE TOTAL 1,760.66
LESS DEPOSIT
BALANCE DUE
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))
10/03/14 0257612 $1,760.66
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Worrell Corp.
IN SUM OF $
305 South Post Road
Indianapolis, IN 46219
$1,760.66
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT ! Board Members
Prior Year I hereby certify that the attached invoice(s), or
32130 I 0257612 I 43-450.02 $1,760.66
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
Tuesday,January 06, 2015
i
Director, Commu y Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund