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252173 1 2/02/1 5
CITY OF CARMEL, INDIANA VENDOR: 361174 ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $****16,091.70* �. ra CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 252173 INDIANAPOLIS IN 46219-7900 CHECK DATE: 12/02/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 271941 8,045.85 OTHER EXPENSES 651 5023990 271941 8,045.85 OTHER EXPENSES Invoice Date Invoice No. 305 South Post Rood 11/16/2015 0271941 Certified os o r Indionopolis, IN 46219-7900 Women Business Enterprise • (317)895-9708 ` '°u`"""``"� «.u ,rr,�«�, � ,. � TermNet 30 Days www.worrellcorp.com Sold To Shipped To 0001 CITY OF CARMEL CITY OF CARMEL WATER-WASTEWATER UTILITIES SCOTT CAMPBELL 30 W MAIN STREET- STE 220 WATER -WASTEWATER UTILITIES CARMEL, IN 46032 760 3RD AVE SW ItlttltlLtlltttltlltlltlllltlllllltttlltttllll CARMEL, IN 46032 SCOTT CAMPBELL Sates Customer Job Shlp Shipped- Peen J Worrell PD.Na. Scott Campbell t,e. 100938 Date 10/31/2015 �� U.S. Mail scampbell & Ikempa@carmel.in.gov COC-PROC 1 City of Carmel - Utility Mailings 5928.04 EACH 5,928.04 COC-POST 1 City of Carmel - Postage for Mailings 10163.66 EACH 10,163.66 1 October 2015 r r Freight: .00 Sales Tax: .00 A HIIAIICE CHARGE of 2K per month °ATE)will be applied to all PAST DUE accounts. TOTAL DUE 16,091 .70 All claims or returns must be ^^� , f*-`, ,. -Ith-5,., return authorization. r AI!invoices a• _ ;'` u „ for vour continued business. 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 361174 WORRELL CORP Purchase Order No. 305 SOUTH POST ROAD Terms INDIANAPOLIS, IN 46219 Due Date 11/23/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/23/201! 271941 $8,045.85 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 # 156685 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 271941 01-7360-07 $8,045.85 l Voucher Total $8,045.85 Cost distribution ledger classification if claim paid under vehicle highway fund xi� ,. - - _ •Invoice Date Imorca Ito: 305 South Post Rood ` ° 11/16/2015 '027,194:1 Certified as olis, IN 462 Indiana 19.7900 Women cmen Business Enterprise `�� t f. �.v.•ar.�._-, (317)895-9708 :5""""„•”'°' °>` ` Terms wtuw.worrellcorp.com Net 30 Days- Sold aysSold To Shipped To 0001 CITY OF CARMEL CITY OF CARMEL WATER-WASTEWATER UTILITIES SCOTT CAMPBELL 30 W MAIN STREET- STE 220 WATER -WASTEWATER UTILITIES CARMEL,IN 46032 760 3RD AVE SW I+I+iIiIlnlliili111+++1111J+rtII1+iIIti+Il+triltlll CARM-EL,,IN 46032 SCOTT CAMPBELL SAles.� Job - Ship IShlIppec,ie�s��:.` :J.Worre(1; =. po;+e, ., Scott Campbell + 100938irate 10/31/2015 et " U.S . Mail' , _ •/• as - � _ a .. - _ _ . scampbell & Ikempa@carmel.in.gov I Y COC-PROC 1 Cit of Carmel - Utility Mailings 5928.04 JJEACH 5,928.04 COC-POST 1 City of Carmel - Postage for Mailings 10163.66 1EACH 10,163:66 t i + I t October 2015 j Freight: .00 ► Sales Tax: t i 00 i t A FINANCE CHARGE of 2,_per month(24%ANNUAL PERCENTAGE RATE)will be appliea io all PAST DUE accounts. TOTAL DUE 16,091 .70 All claims or returris must be made within 30 days of receipt and r:•euire a return auinori avian. All invoices are payable in U.S. Funds. Thank you for your continued business. © Please detach this receipt along perforation and enclose t•:ilh remittance. t& A 0 U.1w rrelIcorp. Solutions of Work printing • marketing office products 3� - ,a �Invoice Number, 0271941 126952 _ _ CITY OF CARMEL :Invoice Date:< • 11/16/2015 WATER-WASTEWATER UTILITIES `. - 30 W.MAIN STREET- STE 220 Amourit'Dtae,, 16,091.70 1` { CARMEL, IN 46032 , • k V 1 ,10 I � +.�...y�.,+._.- _ -•y,.,_v� Vis-$ ,-- _ - c.T 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. 361174 WORRELL CORPORATION Purchase Order No. 305 SOUTH POST ROAD Terms INDIANAPOLIS, IN 46219-7900 Due Date 11/23/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/23/201,1 271941 $8,045.85 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 'Off i r VOUCHER # 153656 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 271941 01-6360-07 $8,045.85 t S � Voucher Total $8,045.85 Cost distribution ledger classification if claim paid under vehicle highway fund