HomeMy WebLinkAbout253247 01/11/16 CITY OF CARMEL, INDIANA VENDOR: 361174
® 431 : ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $*****1,115.93*
'.` �_� CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 253247
�'RFoN`�O' INDIANAPOLIS IN 46219-7900 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 272758 557.97 OTHER EXPENSES
651 5023990 272758 557.96 OTHER EXPENSES
Invoice Date - . Invoice Nor- ----
3os south post Rood 12/16/2015 .0272758
Indianapolis,IN 46219.7900 Certified as o
n —�
WomeBusiness Enterprise
(31.7)895-9708
Cc�•J o-a.ncpot�l,:l:E,t r:ry>n ti'erm5 -
www.worrellcorp.com J� qb Net 30 Days
Sold To 1 d�1 Shipped To - --
WCO:
CITY OF'CARMEL. WORRELL CORPORATION
WATER-WASTEWATER UTILITIES GINA-'Worrell PO 101165
30 VMAIN STREET.-STE 220 305.S POST RD .
CARMEL, IN 46032 INDIANAPOLIS,IN 46.219
- SUE MA_ KI
Sp1ee .,, Dustamer° .._.- _.,: Jop`._, _---. &tirp •_. .. _...Shipped ._ __.
P.°'°° J.Worrell. pO"aSUE MAKI", "°:,., 101165: UPS GROUND
• - :- a • X1711: �-e a a
scampbell.& Ikempa@carmel.in.gov-& MAIL
COC=NEW001 .28,000 Newsletter 8 1/2" X 11" 1 37.05 M.-I 1;037.40
i
i
i,
I
Freight: 7$.53
I Sales.Tax:
A FINANCE CHARGE of 2%per.month.(24%ANNUAL PERCENTAGE RATE)will be applied to all-PAST-DUE-aeccun
All claims or returns must.be made Within 30 days of receipt and require a return auihoriFetion.
All Invoices are Davahlp in.n c c....a..
3nv 1bj®1 9�`
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
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. p
)2-12-31,,
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY A ACTT.
CARMEL, INDIANA
tool i2�// Favor Of
Total Amount of Voucher $ I
Deductions
P S- j
/. 5 7
,i
a
I
I
Amount of Warrant $ 55`7
i
I
Month of Yr
Acct. i
VOUCHER RECORD No.
Collection System
I
Pumping f
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
l
it
I
Total
Allowed
I
i
Board Members j
Filed
L--
ROYCE FORMS•SYSTEMS 1-800-382-8702 325