244644 04/29/15 ,G�q
CITY OF CARMEL, INDIANA VENDOR: 369294
® ONE CIVIC SQUARE AIR DISTRIBUTION SYSTEMS INC CHECK AMOUNT: $*******847.00*
CARMEL, INDIANA 46032 1775 N SHERMAN DR STE C CHECK NUMBER: 244644
INDIANAPOLIS IN 46218 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 13099 847.00 OTHER EXPENSES
AIR DISTRIBUTION SYSTEMS INC. Invoice
FAX# 317-322-1569
Date Invoice#
1775 N. SHERMAN DR. SUITE "C"
INDIANAPOLIS INDIANA 46218 3/25/2015 13099
Bill To Ship To
Carmel Water Treatment Plant Carmel Water Treatment Plant
Brian Tolan Brian Tolan
3450 W. 131st Street 3450 W. 131st Street
Carmel,IN 46033 Carmel,IN 46033
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P.O. Number Terms Rep Ship Via F.O.B. Project
BT031915a Net 30 TGA 3/25/2015 UPS
Quantity Item Code Description Price Each Amount
111 REPAIR FOR CORROSION RESISTANT UNIT HEATER 847.00 847.00
Sales Tax 0.00
Received`.
Date :
PO # : ai9ts--4
AC C T It w
usPL,4 i Vrl - Ci 1,ftV -
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Thank you for your business.
Total $847.00
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VOUCHER # 151604 WARRANT# ALLOWED
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369294 IN SUM OF $
AIR DISTRIBUTION SYSTEMS INC
1775 N SHERMAN DR
SUITE C
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR jJ
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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13099 01-6360-03 $847.00
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Voucher Total $847.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
369294
AIR DISTRIBUTION SYSTEMS INC Purchase Order No.
1775 N SHERMAN DR Terms
SUITE C Due Date 4/21/2015
INDIANAPOLIS, IN 46218
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2112015 13099 $847.00
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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
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Date Officer