253636 01/22/16 '� CITY OF CARMEL, INDIANA VENDOR: 370189
., ® •I• ONE CIVIC SQUARE FLOW SOLUTIONS INC
CHECK AMOUNT: $********49.13*
9 �_�; CARMEL, INDIANA 46032 2600 S MADISON ST CHECK NUMBER: 253636
y,«oN� MUNCIE IN 47302 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 26076 49.13 OTHER EXPENSES
Invoice Flow Solutions, Inc.
Date: 1/7/2016 2600 S. Madison St.
Invoice No.: 26076 Muncie, IN 47302
(765) 284-9166 (765) 284-6815 (fax)
Bill to: City of Carmel Service at: City of Carmel
3450 W. 131st Street 4915 E. 106th Street
Carmel, IN 46074 Carmel, IN 46033
Customer ID: 2872
Description: Order#4811 Air Cleaner Assembly Reference: Parts Order 4811
Terms: (PO Number.:�JM01071:6=A
Item Description Quantity Unit Price Amoun
Parts
FS-15-100 1: MPT Filter Silencer 5 Micron 1.00 $41.0000 $41.00
Parts Subtotal: $41.00
Miscellaneous
Shipping 1.00 $8.1300 $8.13
Miscellaneous Subtotal: $8.13
Subtotal: $49.13
Sales Tax: `$2:07-
Payments: $0.00
Total Due: 1Moe—
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
370189
FLOW SOLUTIONS INC Purchase Order No.
2600 S MADISON ST Terms
MUNCIE, IN 47302 Due Date 1113/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/13/2016 26076 $49.13
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
ih sll(, C � A- ✓6.��
Date Officer
VOUCHER # 154037 WARRANT# ALLOWED
370189
IN SUM OF $
FLOW SOLUTIONS INC r
2600 S MADISON ST
MUNCIE, IN 47302
a
i
•4
Carmel Water Utility j
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV* ACCT# AMOUNT Audit Trail Code
,i
26076 01-6200-04 $49.13
•I,
i'
i'
4
1
I
Voucher Total $49.13
Cost distribution ledger classification if ;
claim paid under vehicle highway fund