319555 12/12/17 r Cqq
CITY OF CARMEL, INDIANA VENDOR: 316200
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $*******717.63*
„Q CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 319555
INDIANAPOLIS IN 46217 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1236823 358.81 OTHER EXPENSES
651 5023990 1236823 358.82 OTHER EXPENSES
VOUCHER NO. 176902 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 316200 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
UTILITY SUPPLY CO INC. CITY OF CARMEL
6310 S HARDING ST An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46217 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
358.82 316200 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR UTILITY SUPPLY CO INC. Terms
Carmel Wasterwater Utility 6310 S HARDING ST Due Date
BOARD MEMBERS
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
1236823 01-7360-07 $358,82 and received except 12/4/2017 1236823 $358.82
1
l
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
VOUCHER NO. 173564 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 316200 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
Utility Supply Company CITY OF CARMEL
6310 South Harding Street An invoice or bill to be properly itemized must show: kind of service, where performed,
Indianapolis, IN 46217 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc..
Payee
358.81 316200 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR Utility Supply Company Terms
Carmel Water Utility 6310 South Harding Street Due Date
BOARD MEMBERS
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
1236823 01-6360-07 $358.81 and received except 12/4/2017 1236823 $358.81
VJ�
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
INVOICE.
UTILITY SUPPLY COMPANY
U Branch: 01 USC INDY INVOICE
S6310 SOUTH HARDING STREET 1236823
C INDIANAPOLIS,IN 46217 Invoice Date Page .
US. 11/29%2017 15:03.:441 1 of 1.
ORDER NUMBER
317-783-4196 12.51455
Bill To: Ship Tor.. .
CARMEL UTILITIES CUSTOMER SERVICE CARMEL UTILITIES CUSTOMER SERVICE
30 WEST MAIN STREET 30 -WEST MAIN STREET
SUITE 220 SUITE 220.
CARMEL,IN 46032 CARMEL,IN 46032
US US
Attn: SCOTT CAMPBELL. Ordered By: SCOTT CAMPBELL.
Customer ID: 100756 --- — - - -- — -- -- - -- -- -- --. —
PO Number Term Description. Net Due Date Disc Due Date DiscountAmount
HANDHELD REFURBISH Net 30 DAYS 12/29/2017 12/29/2017 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker.
11/7/2017 1262958 - DOUG KARST AMPELHAM
. . .Quantities Pricing.
Item ID u0m Unit Extended. .
Ordered Shipped Remaining UOMbit SA Item.Description Price Price
nize Unit Size
Carrier: SALESMANS TRUCK Tracking#:
100 1:00 0.00 EA REPAIR-JPW EA 707.1400 707.14
1.0 REPAIR CE HANDHELD 1.0000 .
FW06750
Total Lines 1 SUB-TOTAL: 707.14
Total.Freight In: 0.00 Total Freight Out:10.49TOTAL FREIGHT: 10:49.
TAX: 0.00
AFINANCE CHARGE computed at a p--riodic rate of 11/2%per month(18% AMO UNT D UE' 717.63
ANNUAL PERCENTAGE RATE)-is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
i
ORIGINAL