245831 06/03/15 J`! � CITY OF CARMEL, INDIANA VENDOR: 353520
ONE CIVIC SQUARE GEORGE E BOOTH CO INC CHECK AMOUNT: $*****8,651.39*
s,�) CARMEL, INDIANA 46032 8202 W 10TH STREET CHECK NUMBER: 245831
9,,,_,._/r, INDIANAPOLIS IN 46214 CHECK DATE: 06/03/15
ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00253910 8,651.39 OTHER EXPENSES
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00253910
1%] George E. Booth Co., Inc. ENTERING OFFICE INVOICE DATE
GEORGE E.BOOTH CO.,INC.
GEORGE E.BOOTH CO.,INC. 8202 West 10th Street 05/04/15
ATTN:Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust NO. Date Ordered Dale Shipped Written By Order Type Ship From Loc Selling Loc
C1191 04/21/15 05/04/15 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No. Mark Number
DAN041715A
EMAIL INVOICES TO:kloveall@carmel.in.gov
Tracking numbers: lZ4418480345189541
LINE QUANTITY ITEM UOM UNIT PRICE EXTENDED
NO._ TOTAL ORDER BACK ORDER THIS.SHIPMNT DESCRIPTION AMOUNT
0010 4.00 0.00 4.00 306191-MS EA 267.0000 1,068.00
KIT,REPAI R,SOLENOI D,ASCO
REPAIR KIT,VALVE,ASCO
0020 2.00 0.00 2.00 302709MO EA 264.3300 528.66
KIT,REPAIR,SOLENOI D,ASCO
KIT,REPAIR,VALVE.MANUAL OPERATOR
0030 3.00 0.00 3.00 8344G070MO,120/60 EA 507.0300 1,521.09
VALVE,SOLENOID,1/4",4WBR,MAN OP
1/4"BRASS 4-WAY SOLENOID
MANUAL OVERRIDE
120VAC
0040 1.00 0.00 1.00 FBX8210C01305959,120/60 EA 985.2300 985.23
VALVE,SOLENOID,3/4",VALVE UNIT,SPECIAL
ASCO 3/4"TWO WAY SOLENOID VALVE,SPECIAL-
STRONGER SPRING AND COIL FOR HIGHER
RATING M-12 REVERSING COIL SOLENOID
0050 4.00 0.00 4.00 304454 EA 201.6000 806.40
REPAIR KIT,ASCO
ASCO REPAIR KIT
0060 3.00 0.00 3.00 302280 EA 124.6000 373.80
ASCO
REPAIR KIT,ASCO
0070 4.00 0.00 4.00 302283 EA 220.7200 882.88
KIT,REPAIR,SOLENOI D,ASCO
REPAIR KIT,VALVE,ASCO
0080 3.00 0.00 3.00 302277 EA 86.3300 258.99
KIT,REPAIR,SOLENOID,ASCO
REPAIR KIT,VALVE,ASCO
0090 4.00 0.00 4.00 8344G027,120/60 EA 525.0000 2,100.00
ASCO
VALVE,SOLENOID,1/2",4 WAY VALVE UNIT,
BRASS
B CITY OF CARMEL-WATER DEPT. s CITY OF CARMEL
I WATER-WASTEWATER UTILITIES H ATTN:PO# DAN041715A
� 3450 W.131ST STREET a WATER-WASTEWATER UTILITIES
CARMEL IN 46074 4915 E.106TH STREET
T USA T CARMEL IN 46033
0 0 USA
Phone:317-247-0100 AMOUNT 8,525.05
SO#:00133760 FRGHT/INS/HNDL 126.34
r PL#:00131730 SALES TAX 0.00
AMOUNT DUE 8,651.39
e CITY OF CARMEL-WATER DEPT. s CITY OF CARMEL
WATER-WASTEWATER UTILITIES H ATTN:PO# DAN041715A
L, 3450 W.131ST STREET P WATER-WASTEWATER UTILITIES
CARMEL IN 46074 4915 E.106TH STREET
T USA T CARMEL IN 46033
0 0 USA
I
VOUCHER # 151940 WARRANT# ALLOWED
353520 IN SUM OF $
GEORGE E. BOOTH COMPANY
8202 W. 10TH STREET
INDIANAPOLIS, IN 46214
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i'
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
00253910 01-6200-04 $8,651.39
i
I
;I.
1
I
I
i
Voucher Total $8,651.39
Cost distribution ledger classification if
claim paid under vehicle highway fund
l
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 5/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2015 00253910 $8,651.39
4
i
1
�I
I hereby certify that the attached invoice(s), or bill(s) is (are)true an
correct and I have audited same in accordance with IC 5-11-10-1.
Date
fficer