245748 06/03/15 ,Coq
CITY OF CARMEL, INDIANA VENDOR: 354917
;; t) ONE CIVIC SQUARE BASTIN LOGAN WATER SERVICES INC CHECK AMOUNT: $""'5,995.00*
CARMEL, INDIANA 46032 237 WEST MONROE STREET CHECK NUMBER: 245748
9M,roN P 0 BOX 55 CHECK DATE: 06/03/15
FRANKLIN IN 46131
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 14434 5,995.00 OTHER EXPENSES
INVOICE
ASTIN WRTER 237 W. MONROE STREET
J SERVICES P.O. BOX 55
O N A FRANKLIN, INDIANA 46131
PHONE (317)738-4577 FAX(317)738-9295
F— � May 11, 2015
S Carmel Utilities DATE:
L Water Department INVOICE No. 14434 — Job #3862-F
D 3450 W. 131 st Street
T Westfield, IN 46074 YOUR P.O. NO.
JM41315-A
1
H TERMS:NET 10 DAYS - -
P 11/2%PER MONTH WILL BE ADDED AFTER 30 DAYS
A.P.R. of 18%
IIT
L� J
QUANTITY DESCRIPTION AMOUNT
Carmel— Well#14— Chemically Clean/Rehabilitate
Well Using Chemical Surge Tank Method
Provide all labor, equipment and materials to chemically
clean/rehabilitate Well #14 using the chemical surge tank 41
method. Including all required chemicals. cv
Total Labor $ 3,840.00 N
Total Materials $ 2,155.00
Total Invoice Due $5,995.00
TAXABLE❑ TAX EXEMPT ❑ #
jPrescribed by State Board of Accounts City Form No.201 (Rev 1995)
i 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
354917
BASTIN LOGAN WATER SERVICES, INC. Purchase Order No.
237 W. MONROE STREET Terms
P.O. BOX 55 Due Date 5/15/2015
FRANKLIN, IN 46131
Invoice Invoice Description
Date Number (or note attachedlinvoice(s) or bill(s)) Amount
5/15/2015 14434 $5,995.00
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.
Date 9fficer
VOUCHER # 151879 WARRANT# ALLOWED
354917 IN SUM OF $
BASTIN LOGAN WATER SERVICES, IN
237 W. MONROE STREET
P.O. BOX 55
FRANKLIN, IN 46131
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR 1
I
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
{
i
14434 01-6200-02 $2,155.00
14434 01-6360-02 $3,840.00 1
1
1 },
a
1
I
i
Voucher Total $5,995.00
Cost distribution ledger classification if 1
claim paid under vehicle highway fund