247550 07/15/15 9, ;r CITY OF CARMEL, INDIANA VENDOR: 361174
® l ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $*****9,690.24*
INDIANAPOLIS CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 247550
�-Ij,�TON ` INDIANAPOLIS IN 46219-7900 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 267261 4,845.12 OTHER EXPENSES
651 5023990 267261 4,845.12 OTHER EXPENSES
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1 305 South Post Rood 07/02/2015 0267261
Indianapolis, IN 46219.7900 Certified Esso
Women Business Enierprise�
(317)895 9708 ° ""° +fit
CAv W I. -npoh MUSE hay;,:: any Terms
wwi.b.worrellcorp.com Net 30 Days
Sold To Shipped To
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CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET- STE 220 305 SOUTH POST ROAD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
Irl�rl,llrrll�r�r�llrrrlrlllrrlll�lrllrrrllrrlrl,lrl SCOTT CAMPBELL
SolesCustomer Jab Ship Shippetl
Panton J Worrell Po.rta.SCOTT CAMPBELL ka• 098259 oar- 06/29/2015 vl� UPS GROUND
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scampbell & Ikempa@carmel.in.gov 1
WC-EN09 ! 168v Envelope, #9 Window Reply 57.68 ; BOX 9,690.24
At our warehouse in INDIANAPOLIS, IN i
i
I ;
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i
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Freight: .00
Sales Tax: 00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to--II PAST DUE accounts- TOTAL DUE 9 690.24
All claims or returns must be made within 30 days of receipt and require a return authorization. TOTAL
All Invoices are pavable in U.S. Funds. T na j1 u+nr your continued business.
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 7/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2015 267261 $4,845.12
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 icer
VOUCHER # 155839 WARRANT# ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
267261 01-7200-07 $4,845.12
Voucher Total $4,845.12
Cost distribution ledger classification if
claim paid under vehicle highway fund
ckc 1`4o
305 South Post Rood 2/2015 b267261
Indianapolis, IN 46219-7900 wortivn
(317)895-9708
loms
wwCu.worrellcorp.corn Net 30 Days
Sold To Shippe-d Tc M
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET- STE 220 305 SOUTH POST ROAD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
SCOTT CAMPBELL
SNP Shipped
Worrell. P _a via UPS GROUND'
lciI,
Po-u-SCOTT CAW BELL pd, 098250: . ij 06/29/2015
I scampbeil.& lkempa@carmel.in.gov
WC-EN09 1681 Envelope, 49 Window Reply 57.68 BOX 9,690:24
At our warehouse in INDIANAPOLIS, IN
Freight:
.00
Sales Tax:
.00
A I'MANCE CHARGE of 29k,per manill(24%,ANNUAL PERCENTAGE RATE)will be applied to 311 PAST DUE accoLfn;s
All cairn;or neluins must be made wilhiii 30 0.ys t�i TEi_ipt and fecwirr a reitim TOTAL DUE ).24
All invoices are payable in U.S. Funds. Thank you for your continued business,
'A Please detach this receipt along perforation and enclose%vith remittance.
.1 NJ worre
11corp
Solutions at Work
printing - marketing office or od.vcts
0267261
hivoice Number
126952
CITY OF CARMEL Inyoice Datz.
07/02/2015
WATER-WASTEWATER UTILITIES
66nt Due-,
30 W MAIN STREET - STE 220 Ani 9.69024
CARMEL, IN 46032
=7
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 7/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2015 267261 $4,845.12
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 fficer
VOUCHER # 152298 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
267261 01-6200-07 $4,845.12
Voucher Total $4,845.12
Cost distribution ledger classification if
claim paid under vehicle highway fund