248747 08/26/15 ,CAA .
CITY OF CARMEL, INDIANA VENDOR: 354121
® ONE CIVIC SQUARE C M A SUPPLY CO, INC CHECK AMOUNT: $ .... '212.62"
CARMEL, INDIANA 46032 PO BOX 18385 CHECK NUMBER: 248747
,,,_aN.�� INDIANAPOLIS IN 46218 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 04280875 212.62 OTHER EXPENSES
CMA Supply Co., Inc. INVOICE
%161homl r4X 4j& 3201 Roosevelt Ave.
SUPPLY CO. Indianapolis, IN 46218 04280875
Phone: 317-545-4446 Fax: 317-545-5631
E-Mail: admin@cmasupply.com Page 1
Website: www.cmasupply.com
Sold CITY OF CARMEL UTILITIES Ship WILL CALL
To: 3450 W. 131ST STREET To:
C00186 CARMEL IN 46074
Date Rep ID Order No. Ord Date Ship Via Terms Inv No.
07/31/15 001/SH 00384926 1 07/30/15 1 CUSTOMER PICK UP NET/30 04280875
Customer P.O.#GREG HOLLANDER Ship No 000065
Item/Description O/S Quantities Units Price Amount
VSE-CHE-1025 _ _ Ordered _ 1.0000 _ _ _ _ 1
5 GAL PAIL V-SEAL 102 CURE&SEAL – Shipped 1.0000 PAIL 135.0000 135.00
ALB-EQP-1312S20 -�— _-Ordered_----v 1.0000 --"-"----
15"ALBION SAUSAGE GUN -----.--.Ordered
Shipped 1.0000 EACH u 40.4200 40.42
ITP-SOF-78 - _ _ _ Ordered_ _ 20.0000
7/8"SOF CELL ROD Shipped 20.0000 LF .1800 3.60
SON-CLK-32963PP Ordered 4.0000
**PROPAC NPI LIMESTONE Shipped 4.0000 EACH 8.4000 33.60
MASTERSEAL NPI
IN
/ t�
_JJ�
Subtotal: 212.62
Non-Taxable Taxable Sales Tax Freight Misc ' Invoice Total
212.62 001 .00 .00 .001 212.62
REMITTANCE ADDRESS: zA
PO Box 18385
Indianapolis, IN 46218
Go Paperless! Email admin@cniasupply.com cmasupply.com to receive emailed PDF invoices and statements.
Customer CoPy
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
354121
C.M.A. SUPPLY COMPANY, INC. Purchase Order No.
PO BOX 18385 Terms
INDIANAPOLIS, IN 46218 Due Date 8/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/2015 04280875 $212.62
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordancewith IC 5-11-10-1.6
Date Officer
VOUCHER# 152802 WARRANT # ALLOWED
354121 IN SUM OF $
C.M.A. SUPPLY COMPANY, INC.
PO BOX 18385
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
04280875 01-6200-06 $212.62
Voucher Total $212.62
Cost distribution ledger classification if
claim paid under vehicle highway fund