252147 12/02/15 i
1+ Gqq*f
�; ,� - CITY OF CARMEL, INDIANA VENDOR: 361025
® I ONE CIVIC SQUARE THERMASTOR PRODUCTS GROUP CHECK AMOUNT: $ .."'129.11
,. ,a° CARMEL, INDIANA 46032 PO BOX 674973 CHECK NUMBER: 252147
�M�roN�EO' DETROIT MI 48267 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2782590 RI 129.11 OTHER EXPENSES
Therma-5t®r«c C11� V O � C E Page t of t
Invoice 2782590 RI
Invoice Date 10/13/2015
Phone Number: 608 237-8400 Customer 94010
Fax Number: 608 222-1447 Order Nbr 1268132 SO
Order Date 10/13/2015
Currency Code USD
Actual Ship 10/13/2015
Customer PO BT101215A
Net Due Date 11/12/2015
Terms Net 30
CITY OF CARMEL Ship To: CARMEL WATER TREATMENT PLANT
3450 W. 131ST STREET 1
CARMEL IN 46074 4915 E. 106TH STREET
ATTN: BRIAN TOLAN
317-417-5063
CARMEL IN 46033
Item Number Description Quantity UM Price Extended
Shipped Price
4021799 FILTER,AIR,1.75x15.75x15.75 10 EA 10.29 102.90
UPS 1Z2A3A220355906729 1 EA 26.21 26.21
FREIGHT
AND
HANDLING
Tax Rate Sales Tax Total Invoice USD 129.11
0 %
Tax Expl Code Discount Freight Handling Code
Sales Tax THERMA-STOR UGC UPS Ground Commercial
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
361025
THERMA-STOR Purchase Order No.
Terms
PO BOX 674973 Due Date 11/20/2015
DETROIT, MI 48267
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/201,' 2782590 RI $129.11
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 # 153636 WARRANT # ALLOWED
361025 IN SUM OF $
THERMA-STOR
PO BOX 674973
DETROIT, MI 48267
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2782590 RI 01-6200-04 $129.11
Voucher Total $129.11
Cost distribution ledger classification if
claim paid under vehicle highway fund