319501 12/12/17 . ,C99
CITY OF CARMEL, INDIANA VENDOR: 359481
Q� ONE CIVIC SQUARE INDIANA FILTER SUPPLY CHECK AMOUNT: $*******316.24*
r as CARMEL, INDIANA 46032 5850 KOPETSKY DR STE F CHECK NUMBER: 319501
v, INDIANAPOLIS IN 46217 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 10172 316.24 OTHER EXPENSES
VOUCHER NO. 173500 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 359481 IN SUM of$ - ACCOUNTS PAYABLE VOUCHER
INDIANA FILTER SUPPLY INC CITY OF CARMEL
5850 KOPETSKY DR An invoice or bill to be properly itemized must show: kind of service,where performed,
SUITE F dates service rendered, by whom, rates per day, number of hours, rate per hour,
INDIANAPOLIS, IN 46217 numbers of units,price per unit,etc.
Payee
316.24 359481 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR INDIANA FILTER SUPPLY INC Terms
Carmel Water Utility 5850 KOPETSKY DR Due Date
BOARD MEMBERS SUITE F
I hereby certify that that attached invoice(s), INDIANAPOLIS,IN 46217
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
10172 01-6200-04 $316.24 and received except 11/30/2017 10172
$316.24
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Indiana Filter Supply, LLC. Invoice
5850 Kopetsky Drive
Suite F Date Invoice#
Indianapolis, IN 46217 11/17/2017 10172
317-788-2897
Bill To Ship To
CARMEL WATER OPERATIONS Carmel Water Plant#1
3450 W. 131ST ST. 4915 E. 106th St.
CARMEL,IN 46074 Indianapolis,IN 46280
KERRI LOVEALL Brian Tolan
kloveall@carmel-.in.gov 317-417-5063
P.O. No. Terms Rep Project
BT111717A Net 30 CT
Description-- Qty Rate , Amount
PLANT 5
_31_4
16 X 20 X 2,DP-40 MAX 12 2.70 32.40
20 X 20 X 1' DP 4_0 MAX 12 , . 3 05 _ 36.60
16 X 16 X 2,DP-40 MAX _ ___....__...,__._-_ ._.. _ ...._ _.. _._._._ ..._._.._,.._..,�a._._..m.._ 12 �_w_._.._..._ . -- 2.79 33.48
-__ __ r.._ __ _ _ __ _ �_ _ _._8
14 X 20 X'1,DP-40 MAX 12 , _2_87 34.44
20X20X2,DP-4w0MAX . 12 3.14 y_ 37.68
___...__._T_. �— __ _--- ---_. . ..._ _. . _. �a__ _.68
14 X14'X 1,DP-40 MAX 12 3.44 4128_
FREIGHT i 25.00 25.00
Subtotal $316.24
Sales Tax (0:0%) $0.00
Total $316.24
Payments/Credits $0.00
Balance Due $316.24
Indiana Filter Supply, LLC. Packing Slip
.5,850 Kopetsky Drive
Suite F Date P.O.#
Indianapolis, IN 46217 11/172017 BT111717A
317-788-2897
Name/Address Ship To
CARMEL WATER OPERATIONS Carmel Water Plant#1
3450 W. 131ST ST. 4915 E. 106th St.
CARMEL,IN 46074 Indianapolis,IN 46280
KERRI LOVEALL Brian Tolan
kloveall@carmel.in.gov 317-417-5063
P.O. No. Rep
BT111717A CT
Item Description Qty Rate Total ;
PLANT 5
_.. ___ --_ --_ _ - _ _._ _ — 7
0450202 16 X 25 X 2'DP-40 MAX µ -_ 24 3.14 — 75.36
0450201 16 X 20 X 2,DP-40 MAX 12 2.70 32.40
0450103 ___ `20 X 20 X 1 DP-40 MAX ___ 12 _ 3 05 36'.60—
0450243 16 X 16 X 2,DP-40 MAX 12 2.79 33.48
;0450139_ _ 14.X 20 X 1,DP-40 MAX 12 2:87 34.44
...u . _ _�.---_ .__
0450203 20 X 20 X 2,_DP-40_ . ___
MAXA__— 12 3.14 37.68_
_m.__;__..._._.__,..�.._____
FREIGHT FREIGHT 1 25.00 25.00
Received : TQC z?59
Date It- 2-1-17
PO # :
A c-c #: 6ZO.q
Use :
Total $316.24
Phone#
317-788-2897