308596 02/28/17 �F. CITY OF CARMEL, INDIANA VENDOR: 184825
ONE CIVIC SQUARE LIVING WATERS CO. CHECK AMOUNT: $*******262.88*
CARMEL, INDIANA 46032 PO BOX 402 CHECK NUMBER: 308596
vy, MONROVIA IN 46157 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0083670 262.88 OTHER EXPENSES
Page: 1
Invoice
Customer
Living Waters Company,Inc. Invoice Number: 0083670-IN
P.O.Box 402 Invoice Date: 2/10/2017
Monrovia,IN 46157 IL W
(317)996-2508
Order Number: 0015371
Order Date 2/2/2017
a` Salesperson: HOUS
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY(e) CARMEL WATER UTILITY(e)
3450 WEST 131st Street 3450 WEST 131ST STREET
Westfield,IN 46074 PLANT#1 /JM
Carmel,IN 46074
Customer P.O. Ship VIA F.O.B. Terms
JM020217 UPS FACTORY Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
BWA3-SXX-C EACH 10.00 10.00 0.00 25.00 250.00
COVER,NEW STYLE FOR A3&M3 Whse: 000
A finance charge of 1.6%(18%APR) Net Invoice: 250.00
Less Discount: 0.00
will be charged on all past due accounts. Freight: 12.88
Thank you for your business. Sales Tax: 0.00
Invoice Total: 262.88
Living Waters Co., Inc. Page: 1
3040-W Glacier Drive Picking Sheet
Monrovia, IN 46157
CUSTOMER
(317)996-2508
Warehouse: 000 MAIN WARnEH SE LOrder Date: 2/2/2017
Order Number: 0015371 � `ry
Customer Number: CARMWAT qq Salesperson: HOUS
US
Sold To: Ship To: .
CARMEL WATER UTILITY(e) CARMEL WATER UTILITY(e)
3450 WEST 131st Street 3450 WEST 131ST STREET
Westfield,IN 46074 PLANT#1 /JM
Carmel,IN 46074
Confirm To: KEN RHODES
Customer P.O. - Ship VIA F.O.B. Terms Date S p d;-
JM020217 UPS FACTORY Net 30 Days
Location Item Number Ordered Unit Shipped Backordered
BWA3-SXX-C COVER,NEW STYLE FOR A3&M3 10.00 EACH
RwcelvordC. Z
Date :
PO # : Jyr;0Z0Z t-7
ACCT #: (0,ZD
Use
141105 A10
ANY SHORTAGES OR DAMAGES MUST BE
REPORTED WITHIN 72 HOURS FROM
DATE OF RECEIPT
VOUCHER # 164103 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
0083670 01-6200-04 262.88
Voucher Total 262.88
Cost distribution ledger classification if
claim paid under vehicle highway fund