241391 01/22/15 ".f. CITY OF CARMEL, INDIANA VENDOR: 316200
I, cr ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $**.....373.55*
° CARMEL, INDIANA 46032 6310 5 HARDING ST CHECK NUMBER: 241391
INDIANAPOLIS IN 46217 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1143631 373.55 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
`: jss1 Branch: 03 USC NW INDY INVOICE
1143631
6310 SOUTH HARDING STREET
jInvoice Date I Page
INDIANAPOLIS,IN 46217 g 1
1 1/13/2015 16:17:44 ; 1 of 1
US
ORDER NUMBER
- ...
----------
317-783-4 196
------317-783-4196 11152376
Bill To: Ship To:
s CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131ST STREET 3450 WEST 131ST STREET
yi CARMEL,IN 46074 (WATER METERS AND METER PARTS ONLY)
US CARMEL.,IN 46074
US
` Attn:K LOVEALL Ordered.By:.TACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
r •nl:btIi"^.,:,,,,; "' JACK 1/5/15 Net 30 DAYS 2/12/2015 2/12/2015 0.00
r firs p.
Order Date Pick Ticket No
PrinmrP Snlesrep Name Taker
1/6/2015 15:01:39 1156957 DOUG KARST ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Ertended
Ordered ShippedRernabriug t/OM Item Description Price Price
Unit Size Unit Size
Carrier: OUR TRUCK Tracking 9:
5.00 5.00 0.00 EA 2GATEN EA 46.9700 234.85
1.0 2 BRONZE THREADED HAND WHEEL. GATE 1.0000
VALVE
5.00 5.00 0.00 EA 21/2FNSTX2MIP EA 26.0400 13020
1.0 2-1/2 FEMALE NST X 2 MIP 1.0000
50.00 50.00 0.00 EA .9106-001 EA 0.1700 8.50
1.0 REGISTER SEAL PIN L/P BLACK 1.0000
Total Lines. 3 SUB-TOTAL: 373.55
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 112%per month(18% AMOUNT DUE: 373.55
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
;,.'. ORIGINAL
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 1/14/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/14/2015 1143631 $373.55
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
VOUCHER # 142768 WARRANT # ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1143631 01-6200-06 $373.55
Voucher Total $373.55
Cost distribution ledger classification if
claim paid under vehicle highway fund