242335 02/17/15 "F CITY OF CARMEL, INDIANA VENDOR: 00351074
® ONE CIVIC SQUARE KIMBALL-MIDWEST CHECK AMOUNT: $******"198.95*
CARMEL, INDIANA 46032 DEPT L-2780 CHECK NUMBER: 242335
COLUMBUS OH 43260-2780 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3994424 198.95 OTHER EXPENSES
INVOICE NO.MBALL INVOICE �
PLEASE PAY FROM THIS INVOICE 3994424
VfIDWEST
ORIGINAL ORDER NO. LATE PAYMENT FEE!
, ,
NTR
WHICH IS AN ANNUAL
Spec-ralfzin�an ASateriats lFlataagerxen.'smce 1s�33 0 7 4 613 2 E •
18% WILL BE
REMIT TO: KIMBALL MIDWEST ACCOUNT NO. _ ADDED
0
DEPT. L-2780 D
DAYS OLD
COLUMBUS, OHIO 43260-2780 (614-219-6100) 139903
www.kimbalimidwest.com
SOLD TO: SHIP TO:
CITY OF CARMEL SEWER DEPT SEWER DEPARTMENT
9609 HAZEL DELL PARKWAY 30 W MAIN ST
ATTN LISA
INDIANAPOLIS IN 46280 CARMEL IN 46032
TRENT
DATE ISALES REPRESENTATIVE1 PURCHASE ORDER NO. SHIPPED VIA& DATE
01/16/15 1COHEN, ROBER RENT U UPS GROUND 01/16/15
ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT
50 50 DUE NASN345 TERMINAL 62 . 50
_ 25 25 NS93710 :: TERMINAL-
20 20 NAB2214 TERMINAL 32 . 20
25... 25 NB93710 TERMINAL : 34 . 75.::
25 25 NA92110 TERMINAL34 . 75
._.UPS _TRACKING :: 1Z47:8173034459138 WGT: 1
To help us correctly process yo r .pament please
.. .. .......
y :e
Tncltides invoice number on your remittance a vice
.
hank yo for y r :busi.nessl:, Paymentis _due 02/1 /15 -
lease.M 3.rl by 02/0&/x.5
o receive invoices via email send a request inc uding you
ecount umber invoice@kimballmidwest . corn:
You acknowledge and agree that,by placing this order,all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest
Motor Supply Co.,Inc.d/b/a Kimball Midwest.You further agree that this Information is for your internal use only and will not be copied,reproduced,distributed
or disclosed by you and/or your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX% TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
CUSTOMER.
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BE ACCEPTED. 198 . 95 198 . 95
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES.
ALL CHECKS MUST BE MADE PAYABLE ONLY
TO"KIMBALL MIDWEST' We Appreciate Your Business PLEASE REMIT THIS AMOUNT
Prescribed by State Board of Accounts
Form No 301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
I
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
3V5,)b?t/ CARMEL, INDIANA
M`F vor Of
CC\OV- ,1zk>5 DH Lk3')Lb-xr�j
Total Amount of Voucher
$ '
Deductions
-399 4 -2 L
(-PSD.
I
I
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS.SYSTEMS 1-800-382-8702 325