308288 02/13/17 ♦y d C�g3R
CITY OF CARMEL, INDIANA VENDOR: 316200
CHECK AMOUNT: S*******284.90*
ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 308288
INDIANAPOLIS IN 46217 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350100 1206390 108.90 BUILDING REPAIRS & MA
2201 4237000 1206390 176.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 316200 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
UTILITY SUPPLY CO INC. IN SUM OF$ CITY OF CARMEL
6310 S HARDI NG ST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46217
Payee
$108.90
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department 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
1206390 43-501.00 $108.90 1 hereby certify that the attached invoice(s),or 12/27/16 1206390 $108.90
1206 101 Prior Year 1206 101
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
Tuesday,January 31, 2017
Huffman, Dave
Director
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
01131117 00: 14 AM 317-707-0561 via VSI—FAX Page 3 of 3 92261t3 u=
INVOICE
ulmrrY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
>'` ' 1206390
•. :
\? 6310 SOUTH HARDING STREET
INDIANAPOLIS,IN 46217 Invoice Date Page
>' 12/27/2016 16:54:59 1 of l
US
ORDER NUMBER
1219669
317-783-4196
Bill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Atm:ACCOUNTS PAYABLE Ordered By:STEVE ZELLER
Customer ID: 100762
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
STEVE ZELLER Net 30 DAYS 1/26/2017 1/26/2017 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
12/27/2016 12:29:23 1227991 ANDY NUGENT CBIGGERSTAFF
Quantities Pricing
Item LD • UOM Unit Extended
Ordered Shipped Remah tng UDM -d. Item Description Unit Size Price Prue
Unit Size O
Carrier. CUSTOMERPICKUP TFacking#.
3.00 3.00 0.00 EA 1056-1010 EA 36.3000 108.90
1.0 10 PVC X 10 PVC FLEX COUPLING 1.0000
Total Lines: 1 SOB-TOTAL: 108.90
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 112%per month(18% AMOUNT DUE: 108.90
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
* * *REPRINT
PACKING LIST
UTILITY SUPPLY COMPANY Pick Ticket Number
Branch: 03 USC NW INDY 1227991
9 6310 SOUTH HARDING STREET Date Page
INDIANAPOLIS,IN 46217 12/27/2016 12:32:281 1 of I
US ORDER NUMBER
1219669
Bill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 4607.4
US US
317-733-2001
Ordered By:STEVE ZELLER
Customer ID: 100762
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
STEVE ZELLER Net 30 DAYS
Order Date Pick Ticket No Primary Salesrep Name Taker
12/27/2016 12:29:23 1227991 ANDY NUGENT CBIGGERSTAFF
Quantities
Item ID UOM
Ordered Shipped Remaining DisA Item Description Unit Size
Carrier: CUSTOMER PICK UP Tracking#:
3.00 3.00 0.00 1056-1010 EA
10 PVC X 10 PVC FLEX COUPLING 1.0
Total Lines: 1
Total Pieces: 3
Total Weight: 0
1.(�'9 ��,0��/ C��✓Gtr
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 316200 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
UTILITY SUPPLY CO INC. IN SUM OF$ CITY OF CARMEL
6310 S HARDI NG ST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46217
Payee
$176.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
1219867 42-370.00 $176.00 1 hereby certify that the attached invoice(s),or 1/3/17 1219867 $176.00
2201 201 2201 201
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
Tuesday, January 31, 2017
Huffman, Dave
Director
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
, 20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
01131117 08: 14 AH 317-787-8561 via VSI—FAX Page 2 of 3 #22610 �-
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
1206745
6310 SOUTH HARDING STREET
INDIANAPOLIS,IN 46217 Invoice Date Page
US 1/3/201716:15:51 1 1 of 1
ORDER NUMBER
317-783-4196 1219867
Sill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:ACCOUNTS PAYABLE Ordered By:STEVE ZELLER
Customer ID: 100762
PO Number Term Descr47don Net Due Date Disc Due Date Discount Amount
STEVE-12/30/2016 08:41:23 Net 30 DAYS 2/2/2017 2/2/2017 0.00
Order Dale Pick racket No Primary Saiesrep Name Taker
12/30/2016 08:10:15 1228213 ANDY NUGENT KHALL
Ifticinns
Item ID UOM Unit Earended
Ordered I S7dpped Remainurg UOM �cL Item Description Price Price
Unk Ize p UnitSise
Carrier: CUSTOMER PICK UP 71macking#:
4.00 4.00 0.00 EA 1056-1212 EA 44.0000 176.00
1.0 12 PVC X 12 PVC FLEX COUPLING 1.0000
Total Lines: I SUB-TOTAL: 176.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rata of 11/2%per month(13% AMOUNT DUE: 176.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUB ACCOUNTS OVER 30 DAYS.
* * *REPRINT
PACKING LIST
UTILITY SUPPLY COMPANY Pick Ticket Number
U Branch: 03 USC NW INDY l 1228213
S 6310 SOUTH HARDING STREET Date Page
INDIANAPOLIS,IN 46217 12/30/2016 08:41:25 1 Of 1
US ORDER NUMBER
1219867
Bill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131 ST STREET 3400 WEST 131 ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
317-733-2001
Ordered By:STEVE ZELLER
Customer ID: 100762 �— ze��
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
STEVE Net 30 DAYS
Order Date Pick Ticket No Primary Salesrep Name Taker
12/30/2016 08:10:15 1228213 ANDY NUGENT KHALL
Quantities
Item ID UOM
Ordered Skipped Remaining Dislt Item Description Unit Size
Carrier: CUSTOMER PICK UP Tracking#:
4.00 4.00 0.00 1056-1212 EA
12 PVC X 12 PVC FLEX COUPLING 1.0
Total Lines: 1
Total Pieces: 4
Total Weight: 0