HomeMy WebLinkAbout248089 07/28/15 [AA .
i•':'F. CITY OF CARMEL, INDIANA VENDOR: 361174
4a
® ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $********15.00*
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 248089
�MtrON�Or INDIANAPOLIS IN 46219-7900 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 267489 15.00 OTHER EXPENSES
i O
Invoice Date Invoice rro.
305 South Post Rood Tom__ 07/12/2015 0267489
Indianapolis, IN 46219-7900 Certified cs o j +
Women Business Enicrprisel
(317)895-9708 ""��c•y.00 vee• Terms
ms s
www.worrellcorp.com Net 30 Days
Sold To Shipped To VIS
CITY OF CARMEL Vision Direct for City of Carmel
WATER-WASTEWATER UTILITIES Gina
30 W MAIN STREET-STE 220 7222 Enterprise Park PI
CARMEL, IN 46032 INDIANAPOLIS, IN 46218
I�l��l�ll �ll��� rll��rl�lllr�ll �tllrrrll� rrltlrl cocmarkh
lsse ° w.ogon J Worrell o658865 o07/07/2015 ivinVORRELL TRUCK
.� scampbell & Ikempa@carmel.in.gov
a
COC-EDG1 5 Envelope, #10 Double Window, Printed i . BOX .00
COC-F01 11 Statements BOX .00
WC-EN09 13 Envelope, #9 Window Reply ' BOX .00
1
f
i
I
f ,
I
Freight: 15.00
Sales Tax: .00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)%will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S.Funds. Thank you for your continued business.
_ -- ray..— -_•_ -_.._.- _ oii�� - - - —
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 7/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2015 267489 $15.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
112 7 11-r
Date Officer
VOUCHER # 155984 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
267489 01-7360-07 $15.00
Voucher Total $15.00
Cost-distribution ledger classification if
claim paid under vehicle highway fund