248227 08/1 2/1 5 9,a�,.CAq�
�/ � CITY OF CARMEL, INDIANA VENDOR: 00353283
® ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATI�CK AMOUNT: $.......162,55'
DALLAS CARMEL, INDIANA 46032 PO BOX 972997 CHECK NUMBER: 248227
�,�TON�, DALLAS TX 75397-2997 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0001148993 162.55 OTHER EXPENSES
I\
Page: 1 of I
i%twieriean Water Works Association
AAmericae t5tater Works 6606 NY Quiney Ave.Denver,M,80235.('S'A
Also<iaalrat Phone;fiR926,'';iY7 hixa 303,47.f O4 E'iwil:etc:6Esticit:tFvww•.3,t3ri�
INVOICE
Date: 29-Jul-2015
Bill-To: 00316246-0 Order Number: 7001059432
Order Date: 30-Jun-2015
Invoice Number: 0001148993
Jeffrey R.Peters,PE
Carmel Utilities
3450 W 131st St
Carmel,IN 46074-8267
Unit
Product Fulfil Status Status Qty Unit Price Diccnnnt Coupon Adjustment Total
Next Due Date Next Due Amount
64292-Safety First:Work Area Traffic Control Shipped Active 1 229.00 68.70 0.00 0.00 160.30
Shipping&Handling: 2.25
Tax: 0.00
Order Total: 162.55
Paid to Date: 0.00
Current Amount Due: 162.55
Please detach the lower portion and return it with your payment.Thank you.
Customer: 00316246-0 Jeffrey R.Peters,PE
Order No.: 7001059432 Invoice No: 0001148993 Balance Due(USD): / 162.555
Credit Card# Exp.Date: _ /_ Amount:
Credit Cards Accepted-(AE,VS,MC,DS)
Send payments to: American Water Works Association
PO Box 972997
Dallas,TX 75397-2997
VOUCHER # 152716 WARRANT # ALLOWED
353283 IN SUM OF $
AMERICAN WATER WORKS ASSOCIA
P.O. BOX 972997
DALLAS, TX 75397-2997
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7001059432 01-6040-05 $162.55
Voucher Total $162.55
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
353283
AMERICAN WATER WORKS ASSOCIATION* Purchase Order No.
P.O. BOX 972997 Terms
DALLAS, TX 75397-2997 Due Date 8/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/2015 7001059432 $162.55
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