248844 08/26/15 0*f CITY OF CARMEL, INDIANA VENDOR: 358710
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $*******667.20*
CARMEL, INDIANA 46032 P 0 BOX 28330 CHECK NUMBER: 248844
�,,�_,oN�o,r ST LOUIS MO 63146 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 304914 386.40 OTHER EXPENSES
1115 4239099 33101 E370133 280.80 SPRAY PANIT LOCATING
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of LadingShipped Via Order Number
8/04/15 8/05/15 JERRY STOCK OUR TRUCK
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
21T12S112T 12 MJ L/P SLEEVE USA DI C153 1 1 238.00000 EA 238.00
21AMF8121112 12 EBAA MEGALUG MJ DI 1112 RST 2 2 74.2000EA 148.40
F/DI PIPE , BLACK
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms Subtotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to
htt ://waterworks.hdsupply.com/TandC/. NET 30 386.40
Frei ht Delivery Handlinci Restock Misc Tax ' ���
a
`.e .. 386.40
INDIANAPOLIS w IN E304914
Branch - 430
1680 Expo Lane
nuri111AlIIl Indianapolis IN 46214 Page: 1
00000
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 28330 Terms
St LOUIS, MO 63146 Due Date 8/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/13/2015' 304914 $386.40
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 # 152781 WARRANT # ALLOWED
350591 IN SUM OF $
HD SUPPLY WATERWORKS
PO BOX 28330
St LOUIS, MO 63146
Carrel Nater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
304914 01-6200-06 $386.40
Voucher Total $386.40
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
Return Top Portion With Payment For Faster Credit Thank You For The Oppo u
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via I Order Number
8/17/15 8/19/15 33101 COMMUNICATIONS I OUR TRUCK
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
Ord by: JANET
96PAINT170 17 OZ ORANGE MARKING PAINT 90 90 3.12000 EA 280.80
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms Subtotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to
http:11wat rworks.hdsupply.com/TandC]. NET 30 280.80
Freight Delivery Handlina Restock Misc Tax '
•
280.80
INDIANAPOLIS w IN a E370133
Branch - 430
1680 Expo Lane
inTan m Indianapolis IN 46214 Page: 1
00000
m INDIANA RETAIL TAX EXEMPT Page 1 of 1
CIty
®f Carmel
CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33101 V
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/17/2015 358710 Locating Spray paint
H D SUPPLY WATERWORKS LTD Communications
VENDOR P O BOX 28330 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
ST LOUIS , MO 63146- (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Account: 42-390.99 Fund: 101 General Fund
90 Each Locating Spray Paint, Flor orange $3.12 $280.80
Sub Total $280.80
Send Invoice To:
Communications
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
PAYMENT $280.80
SHIPPING INSTRUCTIONS A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
'SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
'C.D.D.SHi?MENT CANNOT BE ACCEPTED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 L �
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q
TITLE 6�
DOCUMENT CONTROL NO. 33101 CLERK-TREASURER
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
08/20/15I e370133 I I $280.80
1115 101
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
H D SUPPLY WATERWORKS LTD
P O BOX 28330 IN SUM OF $
ST LOUIS MO 63146
$280.80
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
T
33101 I e370133 I 42-390.99 I $280.80 1 hereby certify that the attached invoice(s), or
1115 101
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, August 21, 2015
/Vry erocU, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund