243830 03/31/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366755
ONE CIVIC SQUARE TRISTATE VALVES &CONTROLS INC CHECKAMOUNT: $*****4,386.69*
CARMEL, INDIANA 46032 PO BOX 1477 CHECK NUMBER: 243830
FLORENCE KY 41022-1477 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_
601 5023990 1041710-00 4,386.69 OTHER EXPENSES
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TRIVAC- &O TristateValves 2615 ArborTech Drive INVO'CE
Controls,Inc. Hebron,KY 41048
Tel: 859-525-9890 Fax: 859-525-9891 Customer Copy
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Tristate Valves & Controls, Inc. lvvivts ?:': 1041710-00
P.O. Box 1477 ....:....:...
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Florence, KY 41022-1477
Bill To: City of Carmel Utilities ship To: City of Carmel Utilities
3450 W. 131st Street 4915 E. 106th Street
Carmel, IN 46074 Carmel, IN 46033
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GA CO No. PD 1-Z7A
GA Shop # 112118-3
1 XRZ01 U GA Brass Tube EA 1 0 1 2406.00 2406.00
2 XRZ01 U GA Piston EA 2 0 2 977.00 1954.00
Total 4360.00
Freight Out 26.69
Invoice Total 4386.69
Lines Total 2 Qty Shipped Total 3
We appreciate your business!
:3"rt #.. � i 4386.69
VOUCHER# 151344 WARRANT# ALLOWED
366755 IN SUM OF $
TRISTATE VALVES & CONTROLS INC
PO BOX 1477
FLORENCE, KY 41022-1477
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
1041710-00 01-6200-04 $4,386.69
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Voucher Total $4,386.69
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
366755
TRISTATE VALVES &CONTROLS INC Purchase Order No.
PO BOX 1477 Terms
FLORENCE, KY 41022-1477 Due Date 3/25/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/25/2015 1041710-00 $4,386.69
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