241710 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 364871
ONE CIVIC SQUARE FACO LLC CHECK AMOUNT: $*******103.01
f =4 CARMEL, INDIANA 46032 8651 CASTLE PARK DR CHECK NUMBER: 241710
INDIANAPOLIS IN 46256-1270 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 32721 103.01 OTHER EXPENSES
8651 Castle Park DriveFA� CC 10 Invoice
H. Indianapolis, IN 46256-1270
Date 1/20/2015
Phone # 317-842-FACO (3226)
Fax # 317-842-4079 Invoice # 32721
Bill To Ship To
CARMEL WATER CARMEL WATER
3450 WEST 131 ST ST. 4916 E. 106TH ST.
CARMEL, IN 46074 CARMEL, IN 46033
ATTN: JOHN MASCARI
FOB Ship Via Terms Due Date Purchase Order No. Rep
SHIP POINT UPS NET 30 2/19/2015 JM-1-9-15A BEH
Item Description Ordered Shipped Rate Amount
DS-BERMAD ... 3/4" Model# 1 1 85.00 85.00
WW-3/4"-A30-P-S-NP Air
Release Valve
FREIGHT 18.01 18.01
I
Faco stocks / distributes the following: Subtotal $103.01
Automatic Flow Control Valves
Balance Valves Inhibited Glycol Sales Tax (7.0%) $0.00
Coil Piping Packages Link-Seal
Expansion Joints Pipe Markers
Gauges Pump Packages Total $103.01
Hose Kits Thermometers
NOTICE:Any shortage or damaged goods claim must be reported to
Faco in writing within 10 days of receipt of shipment.Thank you.
PLEASE NOTE: As of December 1, 2013 all invoices paid with a credit card will be charged a 4% processing fee.
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
364871
FACO Purchase Order No.
8651 CASTLE PARK DRIVE Terms
INDIANAPOLIS, IN 46256-1270 Due Date 1/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2015 32721 $103.01
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 # 142839 WARRANT# ALLOWED
364871 IN SUM OF $
FACO
8651 CASTLE PARK DRIVE
INDIANAPOLIS, IN 46256-1270
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
32721 01-6200-02 $103.01
Voucher Total $103.01
Cost distribution ledger classification if
claim paid under vehicle highway fund