246023 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 316200
s/ ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $k•i M k 1,380.00*
CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 246023
y�TON° INDIANAPOLIS IN 46217 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1153276 1,380.00 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY
INVOICE
6310 SOUTH HARDING STREET 1153276
INDIANAPOLIS,IN 46217 Invoice Date Page
US 5/20/2015 15:55:57 1 of 1
ORDER NUMBER
317-783-4196 1162995
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 (WATER METERS AND METER PARTS ONLY)
US CARMEL,IN 46074
US
Attn:K LOVEALL Ordered By:JACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
JACK 5132015 Net 30 DAYS 6/19/2015 6/19/2015 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
5/14/2015 11:20:51 1167821 DOUG KARST ZSTIERWALT
Quantities Pricing
Item ID UOM
Unit Extended
Ordered Skipped Remaining UOM a Item Description Price Price
Unit Size q Unit Size
Carrier: OUR TRUCK Tracking#:
10.00 10.00 0.00 EA R72G42SG54 EA 69.0000 690.00
1.0 REG-P/R,PIT GAL,1 1/2 T10 W/TOUCHPAD 1.0000
10.00 10.00 0.00 EA R72G52SG54 EA 69.0000 690.00
1.0 REG-P/R, PIT, GALLON, 2 T10 W/ 1.0000
TOUCHPAD
Total Lines: 2 SUB-TOTAL: 1,380.00
TAX: 0.00
`A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 1,380.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
a
VOUCHER # 151990 WARRANT# ALLOWED
316200 l IN SUM OF $
Utility Supply Company _
6310 South Harding Street
Indianapolis, IN 46217
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
ti
Board members
i
PO# INV# ACCT# AMOUNT i. Audit Trail Code
1 �
1153276 01-6200-06 $1,380.00
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I
fi
i
Voucher Total $1,380.00
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 5/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 1153276 i $1,380.00
i
1
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 Officer