HomeMy WebLinkAbout251786 11/18/15 v` '4,p;• CITY OF CARMEL, INDIANA VENDOR: 361174
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $*******107.99*
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 251786.
v� INDIANAPOLIS IN 46219-7900
A CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 269584 54.00 OTHER EXPENSES
651 5023990 269584 53.99 OTHER EXPENSES
INVOICE DATE INVOICE NUMBER
Vl09/11/2015
wprellcore INVOICE 0269584
Solutions of Work CUSTOMER NUMBER CUSTOMER ORDER NO.
305 South Post Road 126952 SCOTT CAMPBELL
Indianapolis, IN 46219 ORDERED BY: TOTAL:
SCOTT CAMPBELL 107.99
SOLD TO SHIPPED TO
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES WATER-WASTEWATER UTILITIES
30 W MAIN STREET-STE 220 30 W MAIN STREET,STE 220
CARMEL,IN 46032 CARMEL,IN 46032
PLEASE PAY FROM THIS INVOICE.NO STATEMENT WILL BE RENDERED.WE SINCERELY APPRECIATE YOUR BUSINESS.
OUR ORDER NO DATE SHIPPED SHIPPED VIA SALESPERSON TERMS
099539 09/04/2015 UPS GROUND J Worrell Net 30 Days
QTY ORDERED QTY SHIPPED DESCRIPTION UNIT PRICE UNIT AMOUNT
scampbell&Ikempa@carmel.in.gov
5 5 Polo,Men's Performance Pique 20.50 EACH 102.50
ASI-85080
I
NET SALE
COMMENTS:
FREIGHT 5.49
SALES TAX 00
INVOICE TOTAL 107.99
LESS DEPOSIT
BALANCE DUE
i
VOUCHER # 153588 WARRANT# ALLOWED
361174 IN SUM OF $
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
269584 01-6200-07 $54.00
1
G �
i
i
i
Voucher Total $54.00
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
i
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 11/12/2015
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/20 1! 269584 $54.00
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
Date 6#icer
INVOICE DATE INVOICE NUMBER
rlworrellcoyp INVOICE 09/11/2015 0269584
Solutions of Work CUSTOMER NUMBER CUSTOMER ORDER NO.
305 South Post Road 126952 SCOTT CAMPBELL
Indianapolis, IN 46219 ORDERED BY: TOTAL:
SCOTT CAMPBELL 107.99
SOLD TO SHIPPED TO
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES WATER-WASTEWATER UTILITIES
30 W MAIN STREET-STE 220 30 W MAIN STREET,STE 220
CARMEL,IN 46032 CARMEL,IN 46032
PLEASE PAY FROM THIS INVOICE.NO STATEMENT WILL BE RENDERED.WE SINCERELY APPRECIATE YOUR BUSINESS.
OUR ORDER NO DATE SHIPPED SHIPPED VIA SALESPERSON TERMS
. 009539 09/04/2015 UPS GROUND J Worrell Net 30 Days
QTY ORDERED QTY SHIPPED DESCRIPTION UNIT PRICE UNIT AMOUNT
scampbell&Ikempa@carmel.in.gov
5 5 Polo,Men's Performance Pique 20.50 EACH 102.50
ASI-85080
NET SALE
COMMENTS: FREIGHT
5.49
SALES TAX .00
INVOICE TOTAL 107.99
LESS DEPOSIT
BALANCE DUE
VOUCHER# 156656 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
{
r
269584 01-7200-07 $53.99
, Y
Voucher Total $53.99
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
p p Y ,
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 11/12/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/20.1! 269584 $53.99
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
Date hff iw r