250910 10/21/15 �' CITY OF CARMEL, INDIANA VENDOR: 361174
® ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $*****6,058.56*
?�; CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 250910
�ETON�° INDIANAPOLIS IN 46219-7900 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 270601 3,029.28 OTHER EXPENSES
651 5023990 270601 3,029.28 OTHER EXPENSES
Invoice Date. Irrv°Iw Na
305 South Post Rood
Certified as o t <'* %rq 10/0812015 0270601
Indianapolis.IN 46219-7900 I
Women Business Enterprise t '
(317)895-9708 w s ae ox=tl ,
rrymrea•aoa,r.•raerco,-, � ►: Terms ..
www.worrellcorp.com Net 30 Days
Sold To Shipped To = Y
M
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER'UTILITIES SCOTT CAMPBELL
30 W MAIN STREET-STE 220 305 SOUTH POST ROAD
CARMEL,IN 46032 INDIANAPOLIS; IN 46219
Irltrlrlllrll9rrt>llrltLllltt�Il.rJ.littllirrlli,Itl
_ SCOTT CAMPBELL
Customer`fr � - Job � � 5h�p - Sfilppad
Pe Son J Worrell _ PO No SCOTT CAMPBELL_.ti° 099723 °'_'° ;0.9/30/24;15 "� BEST AVAIIABLEF,
scampbell & Ikempa@carmel.in.gov
COC-F01 173 Statements 33.72 BOX 5j,8,31.56
At our warehouse in INDIANAPOLIS, IN j r
' � 1
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1 I
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Freight: 225:00"
Sales Tax:
A FINANCE CHARGE of 210'per rttogth(M ANNUAL PERCENTAGE RATE)%lilt be applied to all PAST DUE accounts, TOTAL DUE'
All claims or reldrns must be inadewithin 30 days of reti�'ipt grid r2(luire a reiurn authoritatian. 6,058.56
All invoices are payable in U.S:Funds. Thank you for your continued business.
A".Please detach this receipfalong perioration-and enclose with'Femittence. A,
Solutions at-Work.
printing. marketing oF,fue products"
`f Invoice Number 027060
126952 = `
CITY OF CARMEL 4` Invoice Date -
10/08/2015
WATER-WASTEWATER UTILITIES
Amount Due
30 W MAIN STREET- STE 220 � � 6,058.56
CARMEL, IN 46032 t,
r .
Remit To: Worrell
. .T.
ration
305 South Post Ro
ad
Indlanapolls, •0i
VOUCHER # 156431 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
?200,01
270601 017 $3,029.28
t
G
1
Voucher Total $3,029.28
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 10/14/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/14/201; 270601 $3,029.28
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//U//S
Date Officer
Imrotce,Dato tnvoics tlo.
305'South Post Road 10/08/2015 0270601
Indianapolis.IN 46219-7900 certified or,
o yt
Women Business Enterprise .yL,
(31'7)895-9708 aU.���,� •��� m r,�
, =3's _ Torms
www.worrellcorp.com Net 30.Days
Sold To Shipped To
M
CITY OF CARMEL WORR ELL CORPORATION
WATER-WASTEWATER-UTILITIES SCOTT CAMPBELL
30 W MAIN STREET-STE 220 305 SOUTH POST ROAD
CARMEL,IN 46032 INDIANAPOLIS, IN 46219
l�lirl�llnllnr.rllnilrll�ntllu.l.ln�llnnl'1'1 SCOTT CAMPBELL
Person .. .. OS Na er F a.: Galc VlaPpo�
J.Worrell SCOFF CAMPBELL 099723 09/30/2015 BEST AVAILABLE
scampbell & Ikempa @ carmel.in.gov j
COC+01 173 Statements 33.72 BOX 1 5,833.56
At our warehouse in INDIANAPOLIS, IN
j
'
f i _
Freight: 225.00
Gales Tax: ? .00
1
A FINANCE:CHARGE of 2%per month(24%-ANNUAL PERCENTACE RATE)will be applied to all PAST DUE acc
All claims or returns must be made wilhin 30 days of receipt and require a return authorization. ' DUE 6,068.56
— - -f"voices are payable in U.S..Funds. Thank you for your continued:burin
gyration and encfos�--°'�=Jor•r:r,�_,= - ----��� -
VOUCHER # 153348 WARRANT # ALLOWED
361174 IN SUM OF $
j WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6200,07
270601 01-636@=07 $3,0228
� l
S i
i
Voucher Total $3,02 .28
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 10/14/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/14/201: 270601 $3,028.28
1 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
L/)1,,//S C'-" /`t1x"
Date Officer