247924 07/28/15 +u�.CggM_
f, - CITY OF CARMEL, INDIANA VENDOR: 00351074
® i ONE CIVIC SQUARE KIMBALL-MIDWEST CHECK AMOUNT: $**.....131.75*
is CARMEL, INDIANA 46032 DEPT L-2780 CHECK NUMBER: 247924
'.yi_oN.�` COLUMBUS OH 43260-2780 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4321310 131.75 OTHER EXPENSES
INVOICE NO.
ILIYBALL
INVOICE
-_11L
PLEASE PAY FROM THIS INVOICE 4321310
DW ST ORIGINAL ORDER NO. • _ •
SP('64 iyin6 in hfateiials Managernen•'since 1923 0 7 9 7 0 3 2 E
•
REMIT TO: KIMBALL MIDWEST
DEPT. L-2780 ACCOUNT NO. •.
COLUMBUS,OHIO 43260-2780 (614-219-6100) 65060
•
www.kimballmidwest.com
SOLD TO: SHIP TO:
CARMEL WATER DISTRIBUTION SAME
3450 WEST 131ST ST
ATTN KERRI
CARMEL IN 46032
TRENT
DATE ISALES REPRESENTATIVE1 PURCHASE ORDER NO. SHIPPED VIA& DATE
07/10/15 1COHEN, ROBER TRENT U UPS GROUND 07/10/15
ORDERED SHIPPED BALANCE
DUE DESCRIPTION UNIT PRICE AMOUNT
25 25 NC90112 12-10 FAST HS 1/2 RIN 32 . 00
25 : 25: NB925„14 .....:::16=1A..FAST HS 414, RI 27 50.
25 25 NA92106 22-18 FAST HS 4-6 RI 34 . 75
50 5 .0 ..:. NBSN331S 16-14 FAST HS BUTT C 37 :50
UPS TRACKING # : 1247817303456861 3 WGT: l
To, help us correctly process_ yo ar payment please
include invoice number on your emittance advice
harik. yo fOr. y r ,bus'iness!; Payment is due 08/0 :115
lease mail by 08/02/15
o recei e invoices via email send a request inc uding you
- account : umber to__i;nvoice@kimballmidwest . com
You acknowledge and agree that,by placing this order,all information provided to you by Kimball Midwest herein Is confidential and is the property of Midwest
Motor Supply Co.,Inc.d/b/a Kimball Midwest.You further agree that this Information is for your internal use only and will not be copied,reproduced,distributed
or disclosed by you and/or your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX% TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
CUSTOMER
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BEACCEPTED. 131 . 75 131 . 7 5
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES.
ALL CHECKS MUST BE MADE PAYABLE ONLY
TO"KIM BALL MIDWEST' We Appreciate Your Business PLEASE REMIT THIS AMOUNT
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
3551074
KIMBALL MIDWEST Purchase Order No.
Dept L-2780 Terms
Columbus, OH 43260-2780 Due Date 7/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/20/2015 4321310 $131.75
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 # 152523 WARRANT # ALLOWED
3551074 IN SUM OF $
KIMBALL MIDWEST
Dept L-2780
Columbus, OH 43260-2780
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4321310 01-6500-04 $131.75
Voucher Total $131.75
Cost distribution ledger classification if
claim paid under vehicle highway fund