251987 1 2/02/1 5 CITY OF CARMEL, INDIANA VENDOR: 358710
4�.
® 3` ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: S"'"""'300.00"
CARMEL, INDIANA 46032 P 0 BOX 28330 CHECK NUMBER: 251987
ST LOUIS MO 63146 CHECK DATE: 12/02115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 E779338 300.00 OTHER EXPENSES
'Sul
Inv oice # E779338:
Invoice Date 11/11/15
P LY,
INVOICE
Account # 081251
ATEKS Sales Rep LARRY SHIREMAN
Phone # 317-271-1463
1830 Craig Park Court Branch #430 Indianapolis, IN
St._Louis„MO 63146 : Total Amount Due ,;$300.00
Remit To:
HD SUPPLY WATERWORKS, LTD.
PO BOX 28330
ST LOUIS, MO 63146
Shipped To:
CARMEL UTILITIES 000/0000 3450 W 131ST STREET
3450 W 131ST ST 00000 CARMEL, IN
CARMEL IN 46074 8267
- _ _--
Thank you for the opportunity to serve you! we appreciate your prompt payment.
Date Ordered Date Shipped Customer PO # Job Name Job # Bill of Lading Shipped Via Invoice#
11/09/15 11/10/15 SMITTY STOCK OUR TRUCK E.779338
Quantity
Product Code Description Ordered Shipped B/O Price UM Extended Price
21T06S112T 6 MJ L/P SLEEVE USA CP DI C153 2 2 102.00000 EA 204.00
21AMF8061106 6 EBAA MEGALUG MJ DI 1106 RSTR 4 4 21.50000 EA 86.00
F/DI PIPE , BLACK
21AMG106 6 MJ REGULAR GASKET F/DI 4 4 2.50000 EA 10.00
Freight Delivery Handling Restock Misc Subtotal: 300.00
I[IICIInICIIri Other: .00
Tax: .00
Terms: NET 30
Ordered- By:, SMITTY Invoice Total:, $30.0..-00
Thin transaction is governed by and subject to HD Supply Waterworks' standard terms and conditions, which are incorporated by reference and accepted.
To review these terms and conditions, please visit: wwwwaterworks.hdsupply.com/TandC.
ininn=
00000 Page: 1
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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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 28330 Terms
St LOUIS, MO 63146 Due Date 11/17/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/201! E779338 $300.00
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
J/Ad,5
Date Officer
VOUCHER # 153614 WARRANT # ALLOWED
350591 IN SUM OF $
HD SUPPLY WATERWORKS
PO BOX 28330
St LOUIS, MO 63146
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
E779338 01-6200-06 $300.00
Voucher Total $300.00
Cost distribution ledger classification if
claim paid under vehicle highway fund