252435 1 2/08/1 5 CITY OF CARMEL, INDIANA VENDOR: 361174
® ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $****17,922.27*
�• �� CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 252435
9M,�rpH gip.` INDIANAPOLIS IN 46219-7900 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 270536 8,961.13 OTHER EXPENSES
651 5023990 270536 8,961.14 OTHER EXPENSES
INVOICE DATE INVOICE NUMBER
off C10,
C(0)
��^ IN
�'V e V®ICE CUSTOMER NUMBER CUSTOMER ORDER NO.
10/07/2015 0270536
Solutions at Work IL(11(J11
305 South Post Road 126952 Scott Campbell
Indianapolis, IN 46219 ORDERED BY: TOTAL:
SCOTT CAMPBELL 17,922.27
SOLD TO SHIPPED TO
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES WATER-WASTEWATER UTILITIES
30 W MAIN STREET-STE 220 760 3RD AVE SW
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
100231 09/30/2015 U.S.Mail J Worrell Net 30 Days
QTY ORDERED QTY SHIPPED DESCRIPTION UNIT PRICE UNIT AMOUNT
scampbell&Ikempa@carmel.in.gov
1 1 City of Carmel-Utility Mailings 6388.93 EACH 6,388.93
COC-PROC
1 1 City of Carmel-Postage for Mailings 11533.34 EACH 11,533.34
COC-POST
September 2015
NET SALE
COMMENTS:
FREIGHT .00
SALES TAX .00
INVOICE TOTAL 17,922 27
LESS DEPOSIT
BALANCE DUE
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 12/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2015 270536 $8,961.13
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
s Ga o P drl-
Date Officer
VOUCHER # 153761 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
270536 01-6360-07 $8,961.13
I
Voucher Total $8,961.13
Cost distribution ledger classification if
claim paid under vehicle highway fund
INVOICE DATE INVOICE NUMBER
eI I c '. TnI I:J INVOICE 10/07/2015 0270536
Solutions of Work IJ CUSTOMER NUMBER CUSTOMER ORDER NO.
305 South Post Road 126952 Scott Campbell
Indianapolis, IN 46219 1 ORDERED BY: TOTAL:
SCOTT CAMPBELL 17,922.27
SOLD TO SHIPPED TO
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES WATER-WASTEWATER UTILITIES
30 W MAIN STREET-STE 220 760 3RD AVE SW
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
100231 09/30/2015 U.S.Mail J Worrell Net 30 Days
QTY ORDERED QTY SHIPPED DESCRIPTION UNIT PRICE UNIT AMOUNT
scampbell&Ikempa@carmel.in.gov
1 1 City of Carmel-Utility Mailings 6388.93 EACH 6,388.93
COC-PROC
1 1 City of Carmel-Postage for Mailings 11533.34 EACH 11,533.34
COC-POST
September 2015
NET SALE
COMMENTS:
FREIGHT .00
SALES TAX .00
INVOICE TOTAL 17,922.27
LESS DEPOSIT
BALANCE DUE
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 12/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2015 270536 $8,961.14
1 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 # 156797 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
270536 01-7360-07 $8,961.14
5
Voucher Total $8,961.14
Cost distribution ledger classification if
claim paid under vehicle highway fund