319134 11/30/17 aY `• - CITY OF CARMEL, INDIANA VENDOR: 353520
d zl ONE CIVIC SQUARE GEORGE E BOOTH CO INC CHECK AMOUNT: $*****1,712.94*
CARMEL, INDIANA 46032 8202 W 10TH STREET CHECK NUMBER: 319134
INDIANAPOLIS IN 46214 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00294654 1,712.94 OTHER EXPENSES
Voucher # 173444 Warrant # Prescribed by State Board of Account City Form No.201(Rev 1995)
ALLOWED 20
353520 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
GEORGE E. BOOTH COMPANY CITY OF CARMEL
8202 W. 10TH STREET An invoice or bill to be properly itemized must show, kind of service, where
INDIANAPOLIS, IN 46214 performed, dates of services rendered, by whom, rates per day, number of units
price per unit, itc.
Payee
Carmel Water Utility 353520 Purchase Order
No.
ON ACCOUNT OF APPROPRIATION FOR GEORGE E. BOOTH COMPANY Terms
8202 W. 10TH STREET Due Date
Board Due Date
Members
INDIANAPOLIS, IN 46214
Description
Audit Trail INVOICE (or note attached invoice(s) or
PO # INV # ACCT# AMOUNT Code DATE INVOICE NUMBER bill(s)) AMOUNT
00294654 01-6200-04 $1,712.94 11/22/2017 00294654 $1,712.94
Voucher Total $1,712.94
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
Date Officer
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
George E. Booth Co., Inc. ENTERING OFFICE 00294654
La 9 GEORGE E. BOOTH CO., INC.
GEORGE E.BOOTH CO.,INC. 8202 West 10th Street INVOICE DATE
ATTN:Accounts Receivable Indianapolis IN 46214 11/16/17
8202 West 10th Street USA PAGE
Indianapolis IN 46214 1/1
USA
Customer Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1230 11/14/17 11/16/17 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
Vendor Defined NET 10TH/25TH PROX Shipping point
Customer PO Mark Number
KR111417
Tracking numbers: 1Z4418480378261758
LINE QUANTITY ITEM -- UOM UNIT PRICE EXTENDED
NO. -T.OTAL ORDER BACKORDER THIS SHIPMNT DESCRIPTION AMOUNT
0010 3.00 0.00 3.00 8344G070MO,120/60 EA 558.4000 1,675.20
ASCO
VALVE,SOLENOID, 1/4",4-WAY,BRASS,MANUAL
OPERATOR, 120VAC
Phone:317-247-0100 AMOUNT 1,675.20
SO#:00163289 FRGHT/INS/HNDL 37.74
PL#:00159343 SALES TAX 0.00
AMOUNT DUE 1,712.94
B CARMEL WATER s CARMEL WATER TREATMENT PLANT#1
t3450 W. 131ST.STREET H ATTN:PO# KR111417
� WESTFIELD IN 46074 p 4915 E. 106TH STREET
INDIANAPOLIS IN 46280
T T
0 0
�I
DATE: 11/16/17 02:18PM PACKING LIST
- PAGE: 1 OF 1
Ship From \
GEORGE E. ,BOOTH CO., INC.
8202
George E. Booth Co., Inc. I Inds West 10th Street
' Indianapolis IN 46214 -
USA
1
G
Ship To: Bill TO:
'Payment Terms NET 10TH/25TH PROX (5)
ATTNELPO#TEKR11141TMENT PLANT #1 WESTFIELDEL TER.IN 46074 E Ship Method Vendor Defined
3450 W. 131ST. STREET'
• Freight Terms Prepaid & Add
49.15 E. 106TH STREET ! Cust Snip-to C1230-02
INDIANAPOLIS IN 46280 Cartons 1
Weight 16.30
Tracking Nbrs llZ4418480378261758
Shipping Notes:
Cust phone: "571-4142
Written by RON FRATZKE
Customer PO: KR111417 Mark Number: Packing List #:0015934.3
:LINE, ITEM / VOM 4` QUANTITY QTY PREV QUANTITY QUANTITY
DESCRIPTION �: ORDERED SHIPPED' 'BACK ORDERED THIS SHIPMENT
0010 8344G070MO,120/60 EA } 3.00 0.00 0.00 3.00
ASCO 1
VALVE, SOLENOID, 1/4", 4-WAY, BRASS, MANUAL
OPERATOR; 120VAC
Date : 7 ?
Po # : '(�
ACCT #: 0,'-t
Use : �r�___S
PL#: 00159343 Picked by: UPS
SO#: 00163289 Shipped by: UPS
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i
'Questions'? "Phone: 31`7-2"47-0100