247291 07/15/15 ,f CITY OF CARMEL, INDIANA VENDOR: 358710
{; b ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $**.....396.39*
s. ?� CARMEL, INDIANA 46032 P 0 BOX 28330 CHECK NUMBER: 247291
ST LOUIS MO 63146 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W116723 396.39 OTHER EXPENSES
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
6/24/15 1 6/25/15 S-15235 STOCK UPS E116723
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
Ord by:JEFF
2712CO 12 PVC SDR35 CLEANOUT ADPT HXF 1 1 313.0000 EA 313.00
2712PM 12 PVC SWR CLEANOUT PLUG MIPT 1 1 69.5000 EA 69.50
I
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 30 382.50
http://waterworks.hdsupply.com/TandC/.
Freight Delivery Handlinq Restock Misc. Tax o o �
$396.39
° Ir t'
13.89 ���'
CHICAGO-W IL THANK YOU FOR YOUR ORDER ° E116723
Branch-229 VISIT
220 South Westgate Dr WATERWORKS.HDSU PPLY.COM
Carol Stream IL 60188-2243 FOR OTHER SERVICES OFFERED
o00i:000l 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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL\ Purchase Order No.
PO BOX 28330 Terms
ST. LOUIS, MO 63146 Due Date 7/8/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/2015 E116723 $396.39
I hereby certify that the attached invoice(s), or bili(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 155873 WARRANT # ALLOWED
86201 IN SUM OF $
HD SUPPLY WATERWORKS LTD (NAT
PO BOX 28330
ST. LOUIS, MO 63146
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
E116723 01-7202-06 $396.39
I
1
Voucher Total $396.39
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
w