249684 09/23/15 "F CITY OF CARMEL, INDIANA VENDOR: 363940
® iI ONE CIVIC SQUARE FILTER SERVICES OF INDIANA CHECK AMOUNT: $*******158.52*
CARMEL, INDIANA 46032 1550 INDIANA AVE CHECK NUMBER: 249684
INDIANAPOLIS IN 46202-2153 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20151038 158.52 OTHER EXPENSES
Date Invoice# S.O. No.
FILTER 1550 Indiana Ave.
SERVICES Indianapolis, IN 46202-2153 8/27/2015 20151038
OF INDIANA Phone# (317) 264-2123
f Fax# (317) 264-2121
P.O. No. S15355
BIII To Ship To
CITY OF CARMEL WATER POLLUTION CITY OF CARMEL WATER POLLUTION CONTROL
CONTROL FACILITY & SEWER DEPT.
FACILITY & SEWER DEPT. 9609 HAZEL DELL PARKWAY
9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280
INDIANAPOLIS, IN 46280
--- -- -- —
Terms Due Date Ship Date Ship Via FOB Rep Project
Net 30 Days 9/26/2015 8/27/2015
Item Description Ordered Prev, Inv. Invoiced Rate Amount
ZLP 16x80 ... 054162004 ZLP 16x80 LINKED RING 12 13.21 158.52,-
PANELS-
58.52.PANELS- 3 PLY
i
f
t P
Subtotal $158.521
: Sales Tax (7.0%) $0.00
Total '>< $-158`52
Payments/Credits $0.00
Balance Due $158:52
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
363940
FILTER SERVICES OF INDIANA Purchase Order No.
1550 INDIANA AVE. Terms
INDIANAPOLIS, IN 46202-2153 Due Date 9/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2015 20151038 $158.52
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
Date Officer
VOUCHER # 156286 WARRANT # ALLOWED
363940 IN SUM OF $
FILTER SERVICES OF INDIANA
1550 INDIANA AVE.
INDIANAPOLIS, IN 46202-2153
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
20151038 01-7202-06 $158.52
Voucher Total $158.52
Cost distribution ledger classification if
claim paid under vehicle highway fund