251053 11/04/15 CITY OF CARMEL, INDIANA VENDOR: 361229
® ONE CIVIC SQUARE DRAINAGE SOLUTIONS, INC CHECK AMOUNT: $*1*113,565.85'
CARMEL, INDIANA 46032 771 INTERNATIONAL DRIVE CHECK NUMBER: 251053
FRANKLIN IN 46131 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 4350900 0038389 3,565.85 OTHER CONT SERVICES
250— L4'_;So 9 0 0
— Mail Payments To:
771 International Dr Invoice
DRAINAGE Franklin, IN 46131
SOLUTIONS,INC (317) 346-4110 Invoice Number: 0038389-IN
(317) 346-4109, Fax Invoice Date: 9/10/2015
www.drainagesolutionsinc.com
Due Date 10/10/2015
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. Carmel Street Dept.
3400 W. 131st. St. 3400W. 131st. St.
Carmel, IN 46074 Carmel, IN 46074
P E
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
30601 EA 1.00 1.00 0.00 17.85 17.85
Pipe Lube-Gallon Whse: 001
36DWPIPE FEET 100.00 100.00 0.00 33.73 3,373.00
36"HDPE Doublewall Pipe Solid w/F477 Gasket x 20'(BE) Whse: 001
/NONINVENTORY EACH 1.00 1.00 0.00 175.00 175.00
Mar Mac Coupling
contact Eic 317-752-2706
JT
All returns must be clean, merchantable and immediately ready for resale. All Net Invoice: 3,565.85
approved returns are subject to a 25%restocking charge to be deducted from the Less Discount: 0.00
original purchase price. All returns that require pick-up by Drainage Solutions, Inc. Freight: 0.00
(DSD will be assessed a freight charge to be determined by DSI. Return freight Sales Tax: 0.00
Invoice Total: 3,565.85
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
Drainage Solutions, Inc Purchase Order No.
771 International Drive Terms
Franklin, IN 46131 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
9/10/2015 0038389-IN 36" HDPE Doublewall Pipe and installation $ 3,565.85
Total $ 3,565.85
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.
,20
Clerk-Treasurer
I
VOUCHER NO WARRANT NO.
Drainage Solutions, Inc ALLOWED 20
771 International Drive IN SUM OF $
Franklin, IN 46131
$ 3,565.85
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0038389-IN 250-4350900 $ 3,565.85 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
/—� 11/2/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund