250888 10/21/15 0a.4�y
CITY OF CARMEL, INDIANA VENDOR: 316200
/ �, ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $****14,237.18*
,t. ?�; CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 250888
+�;«oN�� INDIANAPOLIS IN 46217 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 1165988 14,237.18 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
1( Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1165988
INDIANAPOLIS,IN 46217 Invoice Date Page
US 10/1/2015 16:40:00 1 of 1
ORDER NUMBER
317-783-4196 1172814
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 (WATER METERS AND METER PARTS ONLY)
US CARMEL,IN 46074
US
Attn:K LOVEALL Ordered By:JACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
JACK 8172015 Net 30 DAYS 10/31/2015 10/31/2015 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
8/24/2015 15:02:32 1182250 DOUG KARST ZSTIERWALT
Quantities Pricing
Item ID DOM Unit Extended
U0m c, Item Description Price Price
Ordered Shipped RemainingUnit Size q Unit Size
Carrier: OUR TRUCK Tracking#:
1.00 1.00 0.00 EA EP7E1RWG1SG60 EA 14,237.1800 14,237.18
1.0 8 SS HP PROT III GAL R900i W/2 BYPASS 1.0000
SS HP PROTECTUS III METER R900i WITH
20 FOOT ANTENNAS
Total Lines: 1 SUB-TOTAL: 14,237.18
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT D UE: 14,237.18
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER # 153273 WARRANT# ALLOWED
316200 �
IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
I -
Carmel Water Utility �f
1
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
I
i,
1165988 02-2308-00 $14,237.18
Depreciation
I
'I
I
I
Voucher Total $14,237.18
I
Cost distribution ledger classification if j
claim paid under vehicle highway fund
,I
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 10/14/2015
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
10/14/201! 1165988 $14,237.18
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
o /r&�s C -� n��,�a�•�-
Date Officer