246326 06/17/15 > ' CITY OF CARMEL, INDIANA VENDOR: 358710
d ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $""'"'3,119.64'
r. � CARMEL, INDIANA 46032 P o BOX 28330 CHECK NUMBER: 246326
M"oN,`o ST LOUIS MO 63146 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 D925791 1,915.14 OTHER EXPENSES
601 5023990 D999985 1,204.50 OTHER EXPENSES
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Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt-payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
5/13/15 5/28/15 JS51315 #66 MAIN GUARD I DIRECT D925791
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
Ord by: SMITTY
HD SUPPLY WATERWORKS PO#-7051654
/40013412265 KUPFERLE MAINGUARD 66 SAMPLING 3 3 572.0000 EA 1,716.00
STATION 4'0 BURY
BID SEQ#210
/40013598984 66535 PLASTIC CAP 15 15 1.3300 EA 19.95
BID SEQ#240
/40013598985 66S22 PETCOCK PLASTIC CAP 15 15 1.3300 EA 19.95
BID SEQ#250
/40013598986 66527 SEAT RUBBER 5 5 1.3300 EA 6.65
BID SEQ#260
/40013598987 X884#88 REPAIR KIT 2 2 2.9000 EA 5.80
BID SEQ#270
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to NET 30 1 768.35
http://waterworks.hdsupply.com/TandC/.
Freight Delivery Handling Restock Misc. Tax
146.79 ° `Ji $1,915.14
INDIANAPOLIS IN THANK YOU FOR YOUR ORDER c D925791
Branch-430 VISIT
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
000t:000t Page 1 of 1
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Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
6/01/15 6/01/15 JS6115 STOCK OUR TRUCK D999985
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
21TO84M 8 MJ 45 BEND USA CP DI C153 6 6 124.5000 EA 747.00
BID SEQ#210
21AMF8081108 8 EBAA MEGALUG MJ DI 1108 RSTR 10 10 31.3500 EA 313.50
F/DI PIPE , BLACK
BID SEQ#220
21TAMMJR08LG 8 MJ REGULAR ACC L/GLAND USA 12 12 12.0000 EA 144.00
DOMESTIC
BID SEQ#230
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to
http://waterworks.hdsupply.com/TandC/. NET 30 1,204.50
Freight Delivery Handlina Restock Misc. Tax • ,y
° $1,204.50
INDIANAPOLIS IN THANK YOU FOR YOUR ORDER a D999985
Branch-430 VISIT
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 28330 Terms
St LOUIS, MO 63146 Due Date 6/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2015 D999985 $1,204.50
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
VOUCHER # 152091 WARRANT# ALLOWED
350591 IN SUM OF $
HD SUPPLY WATERWORKS
PO BOX 28330
St LOUIS, MO 63146
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
D999985 01-6200-06 $1,204.50
Voucher Total 311
Cost distribution ledger classification if
claim paid under vehicle highway fund