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Home My WebLink About304159 10/10/16 CITY OF CARMEL, INDIANA VENDOR: 361174 CHECKAMOUNT: $""'"1,119.67` (9, ONE CIVIC SQUARE WORRELL CORPORATIONCARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK NUMBER: 304159 INDIANAPOLIS IN 46219-7900 CHECK DATE: 10/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0283033 559.84 OTHER EXPENSES 651 5023990 0283033 559.83 OTHER EXPENSES VOUCHER# 162910 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 283033 01-6360-08 559.84 Voucher Total 559.84 Cost distribution ledger classification if claim paid under vehicle highway fund 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 10/4/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/4/2016 283033 559.84 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 Date Officer VOUCHER # 166306 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 283033 01-7360-08 559.83 Voucher Total 559.83 Cost distribution ledger classification if claim paid under vehicle highway fund 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 10/4/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/4/2016 283033 559.83 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 Date Officer ® YIND Invoice Date Invoice No. 305 South Post Rood 09/27/2016 0283033 Indianapolis, IN 46219-7900 Certified os o Women Business Enterprise (317)895-9708 W the stats or indiono end the Terms Gry of Indianapolis M/U1BE Programs www.worrellcorp.com Net 30 Days Sold To Shipped To WCO CITY OF CARMEL WORRELL CORPORATION WATER-WASTEWATER UTILITIES Gina- City of Carmel 30 W MAIN STREET-STE 220 305 S POST RD CARMEL, IN 46032 INDIANAPOLIS, IN 46219 SUE MAKI Seles Customer Job --—Ship ThIp edPerson J Worrell Po.Ne. SUE MAKI No. 105912 Date 09/22/2016la9ESTAVAILABLE Item •••- Quantity Description — scampbell@carmel.in.gov & MAIL ORIGINALS COC-NEW001 28,000 Newsletter 8 1/2" x 11" 37.16 M 1;040.48 i t I ' 9 E C6 i Freight: 79 1 g Sales Tax: .00 A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 1,119.67 All claims or returns must be made within 30 days of receipt and require a return authorization. All invoices are payable in U.S. Funds. Thank you for your continued business.