245517 05/20/15 ��'"AST
CITY OF CARMEL, INDIANA VENDOR: 359481
® { ONE CIVIC SQUARE INDIANA FILTER SUPPLY CHECK AMOUNT: $*******420.84*
CARMEL, INDIANA 46032 5850 KOPETSKY DR STE F CHECK NUMBER: 245517
+M_ INDIANAPOLIS IN 46217 CHECK DATE: 05/20/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 102433 420.84 OTHER EXPENSES
INDIANA &'lliC.TER SUPPLY, INC. Invoice
5850 KOPETSKY DRIVE, SUITE F Date Invoice#
INDIANAPOLIS, IN 46217
T- 317-788-2897 5/10/2015 102433
F -317-788-6302
Bill To Ship To
CARMEL WATER OPERATIONS CARMEL WATER TREATMENT PLANT#1
3450 W. 131 ST ST. 4915 E. 106TH ST.
CARMEL,IN 46074 CARMEL,IN 46033
KERRI LOVEALL ATTN:BRIAN TOLAN
klo%,eall@carmel.in.gov carmel.in.gov 317-417-5063
P.O. Number Terms Rep Via F.O.B.
BT041515A Net 30 HOUSE DELIVERED S/P
Quantity Item Code Description Price Each Amount
6.00 0450180 18 X 20 X 1,DP-40 MAX 4.49 26.94
6.00 0444100222 12 X 18 X 1,DP-40 MAX 4.92 29.52
3.00 0450256 18 X 25 X 2.DP-40 MAX 4.26 12.78
6.00 0450241 14 X 25 X 2,DP-40 MAX 3.72 22.32
12.00 0450202 16 X 25 X 2;DP-40 MAX 2.84 34.08
4.00 . 18 X 32 X 11 DP-40 MAX 10.43 41.72
8.00 . 30 X 36 X 1,DP-40 MAX 13.09 104.72
50.00 PO 25 GIPOSS HARMSCO CROSS 1.94 97.00
PO 25 GIPOSS
FELT,POLYPROPYLENE,25 MICRON,FIBER-FREE
GLAZED,7 1/16"X 16 1/2",POLYPROPYLENE
FLANGE
FREIGHT FREIGHT 12.33 12.33
1.00 0552184 30"X 240"X I",FIBERGLASS SERVICE ROLL 737 7.37
2.00 0450205 24 X 24 X 2,DP-40 MAX 3.53 7.06
FREIGHT FREIGHT/DELIVERY 25.00 25.00
Total $420.84
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
359481
INDIANA FILTER SUPPLY INC Purchase Order No.
5850 KOPETSKY DR Terms
SUITE F Due Date 5/14/2015
INDIANAPOLIS, IN 46217
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/14/2015 102433 $420.84
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
r
Date icer
VOUCHER # 151875 WARRANT# ALLOWED
359481 IN SUM OF $
INDIANA FILTER SUPPLY INC
5850 KOPETSKY DR
SUITE F
INDIANAPOLIS, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
102433 01-6200-04 $420.84
i
i
Voucher Total $420.84
Cost distribution ledger classification if
claim paid under vehicle highway fund