243718 03/31/15 CITY OF CARMEL, INDIANA VENDOR: 358710
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: S`•"'"1,269.50'
r ° CARMEL, INDIANA 46032 P 0 BOX 28330 CHECK NUMBER: 243718
ST LOUIS MO 63146 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 D601068 1,269.50 OTHER EXPENSES
....................... ..z........
p ortion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading ShiDDed Via Order Number
2/25/15 3/06/15 JACK EXPANSION CONN. OUR TRUCK
Product Code Description Quantity Quantity Back- price Per Amount
Ordered Shipped Ordered
Ord by: JACK
1906EClNL EC-1-NL 5/8 EXPANSION CONN 30 30 14.65000 EA 439.50
NO LEAD
1907EC23NL EC-23-NL 5/8X3/4 EXPANSION CON 50 50 16.60000 EA 830.00
NO LEAD
its transaction is governed by and subject to HD Supply Waterworks standard terms Terms Subtotal
id conditions,which are incorporated herein by this reference and accepted.
>review these terms and conditions,please point your web browser to
t ://w'a rworks.hdsupply.com/TandC/. NET 30 1,269.50
Freight Delive!y andlinci Restock Misc Tax •
• 1,269.50
INDIANAPOLIS IN D 6 010 6 8
Branch - 430 10 VIM to]
1680 Expo Lane
airLTIMIM Indianapolis IN 46214 Page: 1
00000
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VOUCHER# 151278 WARRANT # ALLOWED
350591 IN SUM OF $
HD SUPPLY WATERWORKS
PO BOX 28330 i
St LOUIS, MO 63146
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
D601068 02-2308-00 $1,269.50
Depreciation
i
i
�I
Voucher Total $1,269.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 28330 Terms
St LOUIS, MO 63146 Due Date 3/25/2015
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/25/2015 D601068 $1,269.50
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 Oiyer