248938 08/26/15 0u CITY OF CARMEL, INDIANA VENDOR: 367949
® °I ONE CIVIC SQUARE MILLER INDUSTRIAL FLUIDS LLC CHECK AMOUNT: $"`*'****52.50"
:•_ ?4 CARMEL, INDIANA 46032 1751 N RAYMOND ST CHECK NUMBER: 248938
9��TpN ` INDIANAPOLIS IN 46221 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 31068 52.50 OTHER EXPENSES
-141 wt .
Paqe 1 of 1
voice,,NubvoeiDtInncMILLER
31068 8/12/15
MILLER INDUSTRIAL FLUIDS,LLC Order Number 'r -' 0
6'
34031 9/11/15
1751 W. Raymond St. Phone: (317) 634-7300 Fax: (317) 636-6761
Indianapolis, IN 46221 USA
INV®ICE
Sold To: Ship To:
City of Carmel Utilities City of Carmel/Water Treatment
3450 W 131st St Plant
Carmel, IN 46074 4915 E 106th St
USA Carmel, IN 46033
USA
* { s ,,� q t .i, _ ..; 'h*as}iaA I�^-- a [te- :4 �� fi,='r t :w, a•— -
����.Sli .Dater. • � :`� Shi� ed:Via.�' �. ,.•�`�� .� •:'' .Frei`ht'Termsµ4�:' � �, ,' ��a��;: .Pa ment:Terms •fl��.,
8/10/15 Customer Pickup Net 30
=r, Purchase°Ordei'Number• - l _ ;xSales,A ent��: Orde`r.•Date: ;�" := `Customer Number ¢.
3M080715-A Herb Simpson 8/7/15 CITYCARMEL
ty Shipped Paekagin9 k !4 Total"'` F ro aE' Product �, v.` a; Unit GPrice � �y ,Amount
3J�L i k ! tq ItO,t" �M ! �l4 t " --r: N`I r a
+ 1 +- g i _{ s,f+ .. t _ Jr bj »rf"I�'s -
' aanti �.a�r v _'
5. 5 GAL PL-R 5. GAL Supro R&O 68 10.500 / GAL 52.50
15059MI0005
Supro R&O 68
Merchandise SubTotal 52.50
Total Invoice 52.50
:Rlease.Remit PaymentTo Miller Industrial Fluids, LLC • 1751 W. Raymond St. • Indianapolis, IN • 46221 USA
��� ..r
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
367949
MILLER INDUSTRIAL FLUIDS Purchase Order No.
1751 N RAYMOND ST Terms
INDIANAPOLIS, IN 46221 Due Date 8/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/2015 31068 $52.50
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 # 152814 WARRANT # ALLOWED
367949 IN SUM OF $
MILLER INDUSTRIAL FLUIDS
1751 N RAYMOND ST i
INDIANAPOLIS, IN 46221
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
31068 01-6200-04 $52.50
i
i
Voucher Total $52.50
Cost distribution ledger classification if
claim paid under vehicle highway fund