250647 10/21/15 0j.
CITY OF CARMEL, INDIANA VENDOR: 361229
ONE CIVIC SQUARE DRAINAGE SOLUTIONS, INC CHECK AMOUNT: S*******434.36*
CARMEL, INDIANA 46032 771 INTN N gION3AL DRIVE CHECK NUMBER: 250647
CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 0040379IN 426.00 REPAIR PARTS
2201 4237000 0440597IN 8.36 REPAIR PARTS
Mail Payments To:
771 International Dr Invoice
D11AjrllTAGE Franklin, IN 46131
SOLu-nONS,HNC (317) 346-4110 Invoice Number: 0040379-IN
(317) 346-4109, Fax Invoice Date: 10/12/2015
www.drainagesolutionsinc.com
Due Date 11/11/2015
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. Carmel Street Dept.
3400 W. 131st. St. CPU
Carmel, IN 46074 IN
P E
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
Pedcore CPU Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
LF3SB4300G ROLL 1.00 1.00 0.00 86.40 86.40
4'X 300' 3 oz.Spun Bonded Polyester Landscape Fabric Whse: 001
6DWPIPEPERF FEET 120.00 120.00 0.00 2.83 339.60
6"HDPE Doublewall Pipe Perforated x 20'(BE) Whse: 001
mh
All returns must be clean, merchantable and immediately ready for resale. All approved Net Invoice: 426.00
returns are subject to a 25%restocking charge to be deducted from the original Less Discount: 0.00
purchase price. All returns that require pick-up by Drainage Solutions, Inc. (DSI)will be Freight: 0.00
assessed a freight charge to be determined by DSI. Return freight charges will be Sales Tax: 0.00
Invoice Total: 426.00
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))
10/12/15 0040379-IN $426.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Drainage Solutions, Inc.
IN SUM OF $
771 International Drive
Franklin, IN 46131
$426.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE I AMOUNT Board Members
2201 I 0040379-IN I 42-370.001 $426.00 I 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 w6re ordered and
received except
^Wednesday, 4UR15
V
(Strut(Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Mail Payments To:
771 International Dr Invoice
I�RAilOTAGE Franklin, IN 46131
SOLUTIONS,YNC 1 (317) 346-4110 Invoice Number: 0040597-IN
(317) 346-4109, Fax Invoice Date: 10/15/2015
www.drainagesolutionsinc.com
Due Date 11/14/2015
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. Carmel Street Dept.
3400W. 131st. St. CPU
Carmel, IN 46074 IN
P E
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
Pedcore CPU Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
6CAP EA 2.00 2.00 0.00 4.18 8.36
6"HDPE Singlewall/Doublewall Cap(BE) Whse: 001
mh
All returns must be clean, merchantable and immediately ready for resale. All approved Net Invoice: 8.36
returns are subject to a 25% restocking charge to be deducted from the original Less Discount: 0.00
purchase price. All returns that require pick-up by Drainage Solutions, Inc. (DSI)will be Freight: 0.00
assessed a freight charge to be determined by DSI. Return freight charges will be Sales Tax: 0.00
Invoice Total: 8.36
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))
10/15/15 0040597-IN $8.36
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
Drainage Solutions, Inc.
IN SUM OF $
771 International Drive
Franklin, IN 46131
$8.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I 0040597-IN I 42-370.001 $8.36 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
- /� / / //
ridgy g66&,?2015
t re Fmissloner
e ommissloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund