HomeMy WebLinkAbout259220 05/31/1 9,`%'��p''• CITY OF CARMEL, INDIANA VENDOR: 316200
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $*****1,553.36*
INDIANAPOLIS CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 259220
;�TON,�` INDIANAPOLIS IN 46217 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 24832 1184620 1,553.36 STATION 44 PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts city Form No.201 (Rev.1995)
UTILITY SUPPLY CO INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
6310 S HARDING ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46217 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,553.36 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
24832 1184620 42-370.00 $793.60 1 hereby certify that the attached invoice(s),or 5/24/16 1184620 $793.60
1120 101 1120 101
24832 0 42-370.00 $591.76 bill(s)is(are)true and correct and that the 5/24/16 0 $591.76
1120 1 101 1 materials or services itemized thereon for 1120 1 101
24832 I 0 I 42-370.00 I $168.00 5/24/16 I 0 I I $168.00
1120 101 which charge is made were ordered and 1120 101
received except
Tuesday, May 24,2016
David Haboush
Fire Chief
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
UTILITY SUPPLY COMPANY
U Branch: 03 USC NW INDY INVOICE
S 6310 SOUTH HARDING STREET 1184620
C INDIANAPOLIS,IN 46217 Invoice Date Page
US 5/19/2016 16:37:03 1 of 2
ORDER NUMBER
317-783-4196 1196839
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:JERRY SMITH
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
SMITTY-5/18/2016 12:21:05 Net 30 DAYS 6/18/2016 6/18/2016 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
5/18/2016 12:21:34 1203372 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
Ordered Skipped Remaining
UO M a Item Description Price Price
Unitsizel q Unit Size
Delivery Instructions: DELIVER TO 5032 EAST 131ST STREET @
10 AM
FIRE STATION 44
Carrier: OUR TRUCK Tracking#:
54.54 54.54 0.00 FT 6TYTONJT FT 10.8500 591.76
1.0 6 CL50/350 TYTON JOINT DUCTILE IRON 1.0000
WATER MAIN
2.00 2.00 0.00 EA 6MJ45D EA 84.0000 168.00
1.0 6 MJ 45 ELL DOMESTIC 1.0000
8.00 8.00 0.00 EA 6ML EA 20.2600 162.08
1.0 6 LUG STYLE RETAINER FOR DUCTILE 1.0000
8.00 8.00 0.00 EA 6MJBOLTKIT EA 10.1900 81.52
1.0 6 MJ BOLT&GASKET KIT(NO GLAND) 1.0000
1.00 1.00 0.00 EA 6MJGATE EA 550.0000 550.00
1.0 6 MJ GATE VALVE L/ACC OPEN LEFT 1.0000
1.00 1.00 0.00 EA 51/4X26CITS EA 85.4000 85.40
1.0 5-1/4 X 26 CI VALVE BOX TOP SEC 26T 1.0000
DOMESTIC
1.00 1.00 0.00 EA 51/4X36CIBS EA 82.2500 82.25
1.0 5-1/4 X 36 CI VALVE BOX BOTTOM SEC 36B 1.0000
DOMESTIC
1.00 1.00 0.00 EA 51/4CIWL EA 14.5000 14.50
1.0 5-1/4 CI WATER LID DOMESTIC 1.0000
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
U Branch: 03 USC NW INDY INVOICE
S 6310 SOUTH HARDING STREET 1184620
C INDIANAPOLIS,IN 46217 Invoice Date Page
US 5/19/2016 16:37:03 2 of 2
ORDER NUMBER
317-783-4196 1196839
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM a Item Description Price Price
Unit Sizel q Unit Size
Total Lines: 8 SUB-TOTAL: 1,735.51
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 1,735.51
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL