245107 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 367946
• ONE CIVIC SQUARE ELEMENT MATERIALS TECHNOLOGY LLWECK AMOUNT: $""`"267.80`
CARMEL, INDIANA 46032 32599 COLLECTION CENTER DRIVE CHECK NUMBER: 245107
CHICAGO IL 60693-0325 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 EFW139956IN 267.80 OTHER EXPENSES
,,dement Materials Technology Daleville,LLC
element 32599 Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325 Invoice Date: April 30, 2015
TEL:(765)378-4141
Website:innv.element.com Print Date: April 30, 2015
Invoice No: EFW139956IN
Client PO
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Indianapolis,IN 46280-2935 Chicago,IL 60693-0325
TEL: TEL:(765)378-4141
WorkOrder Test Total . Misc.Charge Total Discount Surcharge WorkOrder Total
15041774 $48.00 $0.00 0.1 0 $43.20
15041773 $244.00 $5.00 0.1 0 I $224.60
Prepaid: $0.00 Please Pay this amount : $267.80
TERMS:
All invoices are due and payable net 30 days from receipt.
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VOUCHER # 155445 WARRANT# ALLOWED
351367 f
IN SUM OF $
ELEMENT MATERIALS TECHNOLOGY
32599 COLLECTION CENTER DRIVE
CHICAGO, IL 60693-0325
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Y Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
EFW 1399561 1 01-7362-05 $267.80
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Voucher Total $267.80
Cost distribution ledger classification if
claim paid under vehicle highway fund ;I
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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
351367
ELEMENT MATERIALS TECHNOLOGY DALEVI Purchase Order No.
32599 COLLECTION CENTER DRIVE Terms
CHICAGO, IL 60693-0325 Due Date 5/5/2015
Invoice Invoice Description
Date Number (or note attached 'invoice(s) or bill(s)) Amount
5/5/2015 EFW1399561 $267.80
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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
Date Officer