241714 02/03/15 u,C�Nb
- CITY OF CARMEL, INDIANA VENDOR: 363940
® ONE CIVIC SQUARE FILTER SERVICES OF INDIANA CHECK AMOUNT: $ ..*"430.64"
CARMEL, INDIANA 46032 1550 INDIANA AVE CHECK NUMBER: 241714
INDIANAPOLIS IN 46202-2153 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20148168 430.64 OTHER EXPENSES
363190
Date Invoice# S.O. No.
ALTER
1550 Indiana Ave.
SERVICES Indianapolis, IN 46202-2153 1/20/2015 20148168
Z. OF INDIANA Phone#(317) 264-2123
Fax# (317) 264-2121
P.O. No. S14677
Bill To Ship To
CITY OF CARMEL WATER POLLUTION CITY OF CARMEL WATER POLLUTION CONTROL
CONTROL FACILITY & SEWER DEPT.
FACILITY & SEWER DEPT. 9609 HAZEL DELL PARKWAY
9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280
INDIANAPOLIS, IN 46280
Terms _ _ Due Date-- _ Ship_Date Ship Via FOB Rep Proiect
Net 30 Days 2/19/2015 1/20/2015 Delivery CA
Item Description Ordered Prev. Inv. Invoiced Rate Amount
16X20X4 MI... 120-721-007 16X20X4 MICROMAX FM 6 68.44 410.64T
80/85
Fuel Surcha... Fuel Surcharge 1 20.00 20.00
Subtotal $430.64
Sales Tax (7.0%) 4
Total $459.38
T Payments/Credits $0.00
Balance Due $ 8
g3o.by
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
363940
FILTER SERVICES OF INDIANA Purchase Order No.
1550 INDIANA AVE. Terms
INDIANAPOLIS, IN 46202-2153 Due Date 1/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2015 20148168 $430.64
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 # 146608 WARRANT # i ALLOWED
363940 IN SUM OF $
FILTER SERVICES OF INDIANA
1550 INDIANA AVE.
INDIANAPOLIS, IN 46202-2153
:i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT i Audit Trail Code
20148168 01-7202-06 $430.64
I
Voucher Total $430.64
Cost distribution ledger classification if
claim paid under vehicle highway fund