250492 10/08/15 i
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CITY OF CARMEL, INDIANA VENDOR: 360614
ONE CIVIC SQUARE INDIANA BUREAU OF MOTOR VEHICLE§HECK AMOUNT: $.....""'36.50'
CARMEL, INDIANA 46032 100 N SENATE AVE ROOM N415 CHECK NUMBER: 250492
vM_r�N _?, INDIANAPOLIS IN aszoa CHECK DATE: 10/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36.50 OTHER EXPENSES
10/1/2015 Page 1
Purchase Orders
CARMEL WASTE WATER TREATMENT PLANT
9609 HAZEL DELL PARKWAY Purchasing Center CARMEL PC
PO No. S15498
INDIANAPOLIS IN 46280 Release No. 0
USA Order Date 10/1/2015
Telephone No 317-571-2634
Ext. 1643 Request Status ORDERED
Fax 317-571-2636 Revision No. 0.00
VENDOR 351239 SHIP TO CARMEL WASTE WATER TREATMENT PLANT
BUREAU OF MOTOR VEHICLES
100 N Senate Ave 9402 ATTN:DUANE JARVIS
9609 HAZEL DELL PARKWAY
Indianapolis IN 46204 INDIANAPOLIS IN 46280
USA USA
Contact
Telephone No. 888-692-6841 Telephone No. 317.571.2634 ext 1640
Ext.
Fax
INVOICE TO CARMEL WASTEWATER UTILITIES CONFIRM TO CARMEL WASTE WATER TREATMENT
PLANT
ATTN:PAUL ARNONE ATTN:RECEIVING
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
U.S.A. USA
Freight Terms Payment Terms
Ship Via
Freight Carrier Shipping Terns
Qty Item No./Service Code Vendor's Item No. Receive To ID
Item Unit Cost Center Description
Due Date Account Code Specifications Unit Cost S Total Cost S
1.00 NS 15498 TITLE 715-08
1
EACH LIFT STATIONS Registration/Titling fee 15.00 15.00
10/1/2015 01.7502.06
1.00 NS 15498 LATE FEE 715-08
2'
PACKAGE LIFT STATIONS Late Fee 21.50 21.50
10/1/2015 01.7502.06
I_
Subtotal $ 36.50
Tax Charge 0.00
Shipping S 0.00
Misc. 0.00
Approval Date Order Total 36.50
Registration and License for the new Generator
VOUCHER # 156422 WARRANT # ALLOWED
351239 IN SUM OF $
BUREAU OF MOTOR VEHICLES
100 N. SENATE AVE. #402
INDIANAPOLIS, IN 46204
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
,
TRAILER 01-7502-06 $36.50
I
I
i
Voucher Total $36.50
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
351239
BUREAU OF MOTOR VEHICLES Purchase Order No.
100 N. SENATE AVE. #402 Terms
INDIANAPOLIS, IN 46204 Due Date 10/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/2015 TRAILER $36.50
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