HomeMy WebLinkAbout241882 02/03/15 �l CITY OF CARMEL, INDIANA VENDOR: 361174
® �' ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $********16.00*
s. ?q CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 241882
9M�TON�` INDIANAPOLIS IN 46219-7900 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 261289 15.00 OTHER EXPENSES
Invoice Date Invoice No.
305 south Pose:Rood 01/23/2015 10261289
Indianapolis, IN 46219-7900 Certified as o
Women Business Enterprise
(317)895-9708 by he scECE of nr UEndthe
Gty EflMlEnopof MUSE RE9rams Terms
www.worrellcorp.com Net 30 Days
Sold To Shipped To
0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET-STE 220 WATER -WASTEWATER UTILITIES
CARMEL, IN 46032 30 W MAIN STREET, STE 220
I�Irrlrllnllnn�llnrlrllln�llnrllntllnnitlrl CARMEL, IN 46032 SCOTT CAMPBELL
Sales Customer Job Ship Shipped
Person J Worrell P.o.No. SCOTT INo. 270735 bate 01/16/2015 Ivia WORRELL TRUCK
COC-F01 6Statements _ — i�LBOX—* :00__
WC-EN09 31 Envelope, #9 Window Reply BOX .00
COC-ED01 4 Envelope, #10 Double Window, Printed BOX .00
Deliver week of 1/19 I
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Freight: 15.00
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-- -- - -- - - -- Sales Tax: # ( .00 -
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A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S.Funds. Thank you for your continued business.
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VOUCHER # 142900 WARRANT# i ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility ?
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ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1,
261289 01-6360-07 $15.00
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Voucher Total $15.00
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Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts I 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
361174
WORRELL CORPORATION + Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 i' Due Date 1/30/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/30/2015 261289 I $15.00
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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