305213 11/14/16 +pi_C�q�
"g;'� w{ CITY OF CARMEL, INDIANA VENDOR: 184825
® �I ONE CIVIC SQUARE LIVING WATERS CO. CHECK AMOUNT: $*"""***463.90*
a CARMEL, INDIANA 46032 PO BOX 402 CHECK NUMBER: 305213
]11y' �. MONROVIA IN 46157 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990. 0083320-IN 262.00 OTHER EXPENSES
601 5023990 0083321-IN 201.90 OTHER EXPENSES
VOUCHER# 163242 WARRANT# ALLOWED
184825 IN SUM OF $
LIVING WATERS CO.
P.O. Box 402
MONROVIA, IN 46157
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0083320 01-6360-04 262.00
IQZ�.` int ko
Voucher Total l..E 0,9P
Cost distribution ledger classification if
claim paid under vehicle highway fund
Page: 1
Invoice
Customer
Living Waters Company,Inc. Invoice Number: 0083320-IN
P.O.Box 402 Invoice Date: 10/31/2016
Monrovia,IN 46157 L W
(317)996-2508
Order Number: 0015053
Order Date 10/28/2016
Salesperson: HERB
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY(e) CARMEL WATER
3450 WEST 131st Street 4915 E 106TH STREET
Westfield,IN 46074 PLANT#5
Indianapolis,IN 46280
Customer P.O. Ship VIA F.O.B. Terms
VERBAL JOHN OUR TRUCK FACTORY Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
/LABOR-H 1.00 1.00 0.00 262.00 262.00
SERVICED 1"NS INJECTORS
A finance charge of 1.5% (18%APR) Net Invoice: 262.00
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 262.00
Page: 1
Invoice
Customer
Living Waters Company,Inc. Invoice Number: 0083321-IN
P.O.Box 402 Invoice Date: 10/31/2016
Monrovia,IN 46157 L W
(317)996-2508
Order Number: 0015054
Order Date 10/28/2016
�` Salesperson: HERB
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY(e) CARMEL WATER
3450 WEST 131st Street 4915 E 106TH STREET
Westfield,IN 46074 PLANT#5
Indianapolis,IN 46280
Customer P.O. Ship VIA F.O.B. Terms
VERBAL JOHN OUR TRUCK FACTORY Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
MK-AAA4316 EACH 2.00 2.00 0.00 96.39 192.78
MAINTENANCE KIT FOR AAA4316 Whse: 003
INJECTOR
WTP97032 EACH 1.00 1.00 0.00 9.12 9.12
POPPET Whse: 003
A finance charge of 1.5% (18%APR) Net Invoice: 201.90
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 201.90
LIVING WATERS COMPANY
P O BOX 402 1-800-382-4601 PHONE
MONROVIA IN 46157 1-317-996-3093 FAX
FIELD SERVICE REPORT
JOB NAME: CXPm,�l f,
JOB ADDRESS:
CITY: STATE: ZIP
SERVICE DATE
QTY DESCRIPTION OF SERVICE COMPLETED
C g370,2
Received : 2D�3
Date :
PO # :
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