241225 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 00352276
i' ONE CIVIC SQUARE BREAKERS UNLIMITED CHECK AMOUNT: $*****1,361.60*
CARMEL, INDIANA 46032 15241 STONY CREEK WAY CHECK NUMBER: 241 225
'M�off Ea. NOBLESVILLE IN 46060 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3194625-01 1,361.60 OTHER EXPENSES
PLEASE REMIT PAYMENT TO,
Breaker Unlimited,Inc.
BREAKERS 1 SWay
UNLIMITED INVOICE 1524stonyCreek Noblesville,IN 46060
Toll Free 800 1875.3294
Fax 317 773.9867
One Call.In 5tock.Right Now. www-breakersunli1mited.00m
Have a question about this invoice? Please email: receivables@breakersunlimited.com or sales@breakersunlimited.00m
'
INVOI E�NUMBER NVO1,CE:NU-MBE2:,`
CIT666 3194625-01 3194625-01
BILL SHIP
TO: CITY OF CARMEL TO: CITY OF CARMEL
750 THIRD AVE SW 750 THIRD AVE SW
CARMEL IN 46032 CARMEL IN 46032
317-571-2443
CUSTOMERP.O.NO. S14383 CUSTOMERP.O.NO. S14383
3194625-01 100 09/29/14 304 S14383 09/29/14
S
-, -INSTRLICT!QN
FRT.`-'1' PA E N&"-
G P 1
-!`OuANTITY.- -j-:
0
N..
'ITEM CODE,ANDZESCRIPTI j f,6/M* UNIT.F`R `'AMOUNT
-`-!�B.OVRE-Ti�,' -SHIPPEb., ICE
ORDERED�'—=.,
4 4 BU9998-SL7 EA 208.15 832.60
SQD 3P SZ 3, 100 TYPE S
4 4 BU9998-SL3 EA 67.85 271.40
SQD 3P SZ 1, 30 TYPE S
2 2 BU9998-SL6 EA 128.80 257.60
SQD 2P SZ 3, 100 TYPE S
THANK YOU FOR YOUR PURCHASE
YOUR UPS TRACKING NUMBER
FOR INVOICE# 3194625-0001 IS:
1Z8138790363678144
ACTUAL WEIGHT IS: 0.2
CODE EXPLANATION THIS IS YOUR INVOICE SUBTOTAL 1, 361.60
STATE TAX APPLICABLE C CONSIDER COMPLETE
FEDJOTHER TAX APPLICABLE D DIRECT SHIPMENT _S!�.,CHARGE.,
PPL �'Fkddkfb&,� ----
STATE.FEDERAL TAX F FACTORY MINIMUM
!FR GHT IN TELE.CHARGE
BALANCE BACK ORDERED n RETURNED CYL. 0.00 0.00
FREIGHT TOTAL VO.00
NET TERMS: INV 30 DUE: 10/29/14 FED./OTHER
._ TAX
ORDER COMPLETED
PAYMENT RECD. 0.00
TOTAL--AMT DUE
XLOPTB 8/88 1,361.60
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
352276
BREAKERS UNLIMITED Purchase Order No.
15241 Stony Creek Way Terms
Noblesville, IN 46060 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 3194625-01 $1,361.60
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
Date Officer
VOUCHER # 146469 WARRANT # ALLOWED
352276 IN SUM OF $
BREAKERS UNLIMITED
15241 Stony Creek Way
Noblesville, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
3194625-01 01-7202-05 $1,361.60
I
Voucher Total $1,361.60
Cost distribution ledger classification if
claim paid under vehicle highway fund