244814 04/29/15 �'`��`''f• CITY OF CARMEL, INDIANA VENDOR: 316200
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $*****1,667.04*
y =� CARMEL, INDIANA 46032 310 S ARDIINN sZ�� CHECK NUMBER: 244814
,TON CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.601 5023990 1150440 441.18 OTHER EXPENSES
601 5023990 1150441 178.46 OTHER EXPENSES
604 5023990 1150442 1,047.40 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
pq Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET
1150442
INDIANAPOLIS,IN 46217 Invoice Date Page
US 4/22/201516:19:11 1 of 2
ORDER NUMBER
317-783-4196 1160480
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:JERRY SMITH
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
JS42115 Net 30 DAYS 5/22/2015 5/22/2015 0.00
Order Date Pick Ticket No Primary Sa[esrep Name Taker
4/21/2015 10:32:43 1164592 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
Ordered Skipped Remaining UOM q Item Description Price Price
Unit Size Unit Size
q
Carrier: OUR TRUCK Tracking#:
5.00 5.00 0.00 EA H15008-25ON EA 27.5900 137.95
1.0 3/4 MUELLER CC X CTS COMP CORP STOP 1.0000
LLB
10.00 10.00 0.00 EA H15403-25ON EA 15.4100 154.10
1.0 3/4 MUELLER CTS COMPRESSION 1.0000
COUPLING LLB
10.00 10.00 0.00 EA B24273-250N EA 38.6800 386.80
1.0 3/4 MUELLER COMPRESSION BALL METER 1.0000
- STOP _
6.00 6.00 0.00 EA H15403-33ON EA 16.8100 100.86
1.0 1 MUELLER CTS COMPRESSION 1.0000
COUPLING LLB
3.00 3.00 0.00 EA B24278-33ON EA 60.4100 181.23
1.0 1 MUELLER IP BALL METER VALVE LLB 1.0000 i
3.00 3.00 0.00 EA H15428-422N EA 28.8200 86.46
1.0 1-1/4 MUELLER CTS X I MIP ADAPTER LLB 1.0000
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1150442
INDIANAPOLIS,IN 46217 Invoice Date Page
US 4/22/201516:19:11 2 of 2
ORDER NUMBER
317-783-4196 1160480
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remainin 170M Item Description
g Price Price
Unit Size q Unit Size
Tota!Lines: 6 SUB-TOTAL: 1,047.40
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 1,047.40
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
V
J�
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1150440
.,
INDIANAPOLIS,IN 46217 Invoice Date Page
b
US 4/22/2015 16:18:38 1 of I
ORDER NUMBER
317-783-4196 1160150
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:JERRY SMITH
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
SMITTY-4/16/2015 16:55:03 Net 30 DAYS 5/22/2015 5/22/2015 0.00
Order Date Pick Ticket No Primacy Sa[esrep Name Taker
4/16/2015 16:54:34 1164561 ANDY NUGENT ABEGLEY
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM a Item Description
Unit Size p Unit Si
Price Price
ze
Carrier. OUR TRUCK Tracking#:
20.00 20.00 0.00 EA 1VBR EA 5.8800 117.60
1.0 1 RISER RING FOR 5 1/4 VALVE BOX 1.0000
15.00 15.00 0.00 EA 11/2VBR EA 7.0600 105.90
1.0 1-1/2 RISER RING FOR 5-1/4 VALVE BOX 1.0000
15.00 15.00 0.00 EA 2VBR EA 8.2400 123.60
1.0 2 RISER RING FOR 5 1/4 VALVE BOX 1.0000
8.00 8.00 0.00 EA 3VBR EA 11.7600 94.08
1.0 3 RISER RING FOR 5 1/4 VALVE BOX - 1.0000 - -
Total Lines: 4 SUB-TOTAL: 441.18
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 441.18
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1150441
INDIANAPOLIS,IN 46217 Invoice Date Page
US 4/22/2015 16:18:50 1 of 1
ORDER NUMBER
317-783-4196 1160605
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL
Ordered By:JERRY SMITH
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
SMITTY-4/22/2015 09:28:55 Net 30 DAYS 5/22/2015 5/22/2015 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
4/22/2015 09:28:32 1164689 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
Ordered Skipped Renmiuing UOM h Item Description Price Price
Unit Size q Unit Size
Carrier: OUR TRUCK Tracking#:
2.00 2.00 0.00 EA B24278-33ON EA 60.4100 120.82
1.0 1 MUELLER IP BALL METER VALVE LLB 1.0000
2.00 2.00 0.00 EA H15428-422N EA . 28.8200 57.64
1.0 1-1/4 MUELLER CTS X 1 MIP ADAPTER LLB 1.0000
Total Lines: 2 SUB-TOTAL: 178.46
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 178A6
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER # 151638 WARRANT# ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
o(D
150442 02-2308-00 $1,047.40
Depreciation
LN
Voucher Total(jCj , $1, �-4O
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 4/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/23/2015 1150442 $1,047.40
.1
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