251513 11/18/15 o
CITY OF CARMEL, INDIANA VENDOR: 361229
ONE CIVIC SOUARE DRAINAGE SOLUTIONS, INC CHECK AMOUNT: S"******240.80*CARMEL, INDIANA 46032 771 INTERNATIONAL DRIVE CHECK NUMBER: 251513
FRANKLIN IN 46131 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 4350900 0042090-IN 240.80 REPAIR PARTS
Mail Payments To:
771 International Dr Invoice
1D11,AXN,kCE Franklin, IN 46131
SOLUTIONS,iNC (317) 346-4110 Invoice Number: 0042090-IN
(317) 346-4109, Fax Invoice Date: 11/6/2015
www.drainagesolutionsinc.com
Due Date 12/6/2015
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. Carmel Street Dept.
3400 W. 131st. St. cpu
Carmel, IN 46074
P E
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
Gilford Rd. Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
12DWPIPE FEET 40.00 40.00 0.00 6.02 240.80
12"HDPE Doublewall Pipe Solid w/F477 Gasket x 20'(BE) Whse: 001
JH
All returns must be clean, merchantable and immediately ready for resale. All approved Net Invoice: 240.80
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 rax: 0.00
Invoice Total: 240.80
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))
11/06/15 0042090-IN $240.80
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.
Drainage Solutions, Inc. ALLOWED 20
IN SUM OF $
771 International Drive
Franklin, IN 46131
$240.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
261 I 0042090-IN I 3 I $240.80 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
Thurs'�dpy, v LZM2015
StSt.Ge:E&Comrinissiwer
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund