250127 10/07/15 0�� CITY OF CARMEL, INDIANA VENDOR: 00350779
ONE CIVIC SQUARE B L ANDERSON CO.''\ CHECKAMOUNT: $*****1,626.00*
��� CARMEL, INDIANA 46032 4801 TAZER DRIVE CHECK NUMBER: 250127
1�(TON.�� LAFAYETTE IN 47905 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 V-16716 1,626.00 OTHER EXPENSES
Invoice B L Anderson Co.,Inc.
45017f 4801 'Tazer Drive
Lafayette Ili 47905
765-463-1518 phone
` ANDES'�'�N 765-446-8390 fax
www.blanderson.com
Date Invoice#
9/23/2015 V-16716
Bill To' Ship To
CARMEL WATER Carmel Water Treatment Plant 1
3450W. 131st.St. 4915 East 106th Street
Carmel,IN 46074 Carmel,IN 46033
Attu: Ken Rhodes
Tag: PO#KR82615- -
P.O. Number Terms Rep Ship Date Project
KR82615 Net 30 TLS 9/15/2015
Quantity Item Code Description Price Each Amount
2 Non Inventory'Valve Rotork Part#WIT82052-MOD6J Folomatic+CPT PGB. 813.00 1,626.00
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $1,626.00
VOUCHER # 153136 WARRANT # ALLOWED
I IN SUM OF $
350779
BL ANDERSON J
4801 Tazer Drive
LAFAYETTE, IN 47905
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
1 ;I Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
V-16716 02-2308-00 $1,626.00
Depreciation
i
�i
I)
I
f
f Voucher Total $1,626.00�'
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
350779
BL ANDERSON Purchase Order No.
4801 Tazer Drive Terms
LAFAYETTE, IN 47905 Due Date 9/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/29/2015 V-16716 $1,626.00
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
i