245300 05/13/15 +�.�,q" CITY OF CARMEL, INDIANA VENDOR: 361025
® �, ONE CIVIC SQUARE THERMASTOR PRODUCTS GROUP CHECK AMOUNT: $*******128.99*
i9�,_�. CARMEL, INDIANA 46032 3037 PAYSPHERE CIRCLE CHECK NUMBER: 245300
�'di:m+�, CHICAGO IL 60674 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2749886 26.09 OTHER EXPENSES
601 5023990 2750074 102.90 OTHER EXPENSES
Tfierrna-. `tor= N \/ O I C E Page 1 of 1
Invoice 2749886 RI
Invoice Date 04/17/2015
Phone Number: 608 237-8400 Customer 94010
Fax Number: 608 222-1447 Order Nbr 1240282 SO
Order Date 04/17/2015
Currency Code
Actual Ship 04/20/2015
Customer PO BT041715A
Net Due Date 05/17/2015
Terms Net 30
CITY OF CARMEL
3450 O CAST STREET Ship To: CITY OF CARMEL-WATER TREATMENT
PLT 1
CARMEL IN 46074 4915 E 106TH STREET
ATTN:BRIAN TOLAN
317-417-5063
CARMEL IN 46033
Item Number Description Quantity UM Price Extended
Shipped Price
UPS 1Z2A3A220357610875 1 EAr' 26.09 26.09
FREIGHT
AND
HANDLING
Tax Rate Sales Tax Total Invoice 26.09
0 %
Tax Expl Code Discount Freight Handling Code
THERMA-STOR UGC UPS Ground Commercial
I '
® I N V O I C E Page 1 of 1
Therma-Star«
Invoice 2750074 RI
Invoice Date 04/20/2015
Phone Number: 608 237-8400 Customer 94010
Fax Number: 608 222-1447 Order Nbr 1240282 SO
Order Date 04/17/2015
Currency Code USD
Actual Ship 04/20/2015
Customer PO BT041715A
Net Due Date 05/20/2015
Terms Net 30
CITY OF CARMEL Ship To: CITY OF CARMEL-WATER TREATMENT
3450 W.131ST STREET PLT 1
CARMEL IN 46074 4915 E 106TH STREET
ATTN:BRIAN TOLAN
317-417-5063
CARMEL IN 46033
Item Number Description Quantity UM Price Extended
Shipped Price
40214.75 FILTER,AIR, 1.75x15.50x19.50 8 EA 10.29 82.32
4021799 FILTER,AIR,1.75x15.75x15.75 2 FA 10.29 20.58
Tax Rate Sales Tax Total Invoice USD 102.90
0 %
Tax Expl Code Discount Freight Handling Code
THERMA-STOR UGC UPS Ground Commercial
i
VOUCHER# 151732 WARRANT# ALLOWED
361025 I IN SUM OF $
THERMASTOR
PRODUCTS GROUP
3037 PAYSPHERE CIRCLE
CHICAGO, IL 60674
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
.j
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0
2750074 01-6200-04 $102.90
:t
a
Voucher Total I
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
361025
THERMASTOR Purchase Order No.
PRODUCTS GROUP Terms
3037 PAYSPHERE CIRCLE Due Date 5/4/2015
CHICAGO, IL 60674
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2015 2750074 $102.90
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