252059 12/02/15 >% ;• _ CITY OF CARMEL, INDIANA VENDOR: 367949
i; ONE CIVIC SQUARE MILLER INDUSTRIAL FLUIDS LLC CHECK AMOUNT: $*****1,718.15*
f. ;4 CARMEL, INDIANA 46032 1751 N RAYMOND ST CHECK NUMBER: 252059
INDIANAPOLIS IN 46221 CHECK DATE: 12/02115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 33219 1,718.15 OTHER EXPENSES
Page 1 of 1
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L LER 33219 11/18/15
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MILLER INDUSTRIAL FLUIDS,LLC WN'Ntjb6K a
35960 12/18/15
1751 W. Raymond St. Phone: (317) 634-7300 Fax: (317) 636-6761
Indianapolis, IN 46221 USA
INVOICE
Sold To: Ship To:
City of Carmel Utilities City of Carmel/Water Treatment
3450 W 131st St Plant
Carmel, IN 46074 4915 E 106th St
USA Carmel, IN 46033
USA
Imm-rol"nemg,I:swik'�g Sma. bim"'i-a"100 WWW"r," Ohi,110, RUN, iffll"'11,1020 O'a" -
11/6/15 1 Sales will Deliver-Herb Net 30
I- 'go'"
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c se�w e�T N"Oft"umber: ft '11 004,SaIRPA MMAN us offi"i� u' A"i 'I I
3M102715-A Herb Simpson 10/29/15 CITYCARMEL
Is
lied
Q. S
dantity.
1Totals'
W
IN B
10. 5 GAL PAIL 10. GAL Summit Synqear SH-7068 55.780 / GAL 557.80
13047XX0005
Summit Syngear SH-7068
15. 5 GAL PAIL 15. GAL Summit Svnqear SH-7150 57.230 GAL 858.45
13050)0(0005
Summit Syngear SH-7150
5. 5 GAL PAIL 5. GAL Summit DSL-100 60.380 GAL 301.90
15188S00005
Summit DSL-100
Merchandise SubTotal 1,718.15
Total Invoice 1,718.15
Pt1751 W. Raymond St. - Indianapolis, IN - 46221 USAI
" lfllmiller Industrial Fluids, LLC
r,4T,,r i
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
367949
MILLER INDUSTRIAL FLUIDS Purchase Order No.
1751 N RAYMOND ST Terms
INDIANAPOLIS, IN 46221 Due Date 11/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/201! 33219 $1,718.15
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 Officer
VOUCHER # 153646 WARRANT # ALLOWED
367949 IN SUM OF $
MILLER INDUSTRIAL FLUIDS
1751 N RAYMOND ST
INDIANAPOLIS, IN 46221
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
33219 01-6200-04 $1,718.15
Voucher Total $1,718.15
Cost distribution ledger classification if
claim paid under vehicle highway fund