249236 09/09/15 CSN
>'' ":F. CITY OF CARMEL, INDIANA VENDOR: 361229
® ' ONE CIVIC SQUARE DRAINAGE SOLUTIONS, INC CHECK AMOUNT: S"""""67.52"
+. r CARMEL, INDIANA 46032 771 INTERNATIONAL DRIVE CHECK NUMBER: 249236
?y_^N�`o, FRANKLIN IN 46131 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 0035818-IN 67.52 REPAIR PARTS
Mail Payments To:
771 International Dr Invoice
]Dp.A1-f.jAGE Franklin, IN 46131
SO ONS,INC (317) 346-4110 Invoice Number: 0035818-IN
° (317) 346-4109, Fax Invoice Date: 7/30/2015
www.drainagesoluiionsinc.com
Due Date 8/29/2015
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. Carmel Street Dept.
3400 W. 131st. St. 3400 W. 131st. St.
Carmel, IN 46074 Carmel, IN 46074
P
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
6SPCPL EA 6.00 6.00 0.00 4.22 25.32
6'HDPE Singlewall I Doublewall Split Coupling Whse: 001
6SNCPL EA 10.00 10.00 0.00 4.22 42.20
6'HDPE Singlewall/Doublewell Snap Coupling Whse: 001
MH
I
All returns must be clean, merchantable and immediately ready for resale. All Net Invoice: 67.52
approved returns are subject to a 25% restocking charge to be deducted from the Less Discount: 0.00
original purchase price. All returns that require pick up by Drainage Solutions, Inc. Freight: 0.00
Sales Tax: 0.00
(DSI)will be assessed a freight charge to be determined by DSI. Return freight
Invoice Total: 67.52
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 Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/30/15 0035818-IN $67.52
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
a
VOUCHER NO. WARRANT NO.
Drainage Solutions, Inc. ALLOWED 20
IN SUM OF $
771 International Drive
Franklin, IN 46131
$67.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
2201 I 0035818-IN I 42-370.001 $67.52 1 hereby certify that the attached invoice(s), or
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
17
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Thursd� Set 015
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund