319896 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 316200
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $**....*252.70*
CARMEL, INDIANA 46032 6310 S HARDING ST CHECK NUMBER: 319896
INDIANAPOLIS IN 46217 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1237628 145.00 OTHER EXPENSES
601 5023990 1238069 107.70 OTHER EXPENSES
VOUCHER NO. 173621 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 316200 IN SUM OF$ 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
252.70 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
1237628 01-6200-06 $145.00 and received except 12/6/2017 1237628 $145.00
1238069 01-6200-04 $107.70 12/11/2017 1238069
$107.70
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
Branch: 03 USC NW INDY INVOICE
`a 6310 SOUTH HARDING STREET 1237628
`y' Invoice Date Page
INDIANAPOLIS,IN 46217 g
US 12/5/2017 15:57:47 1 of 1
ORDER NUMBER
317-783-4196 1253070
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:JERRY SMITH
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
SMITTY-11/27/2017 15:43:43 Net 30 DAYS 1/4/2018 1/4/2018 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
11/27/2017 11:39:41 1263151 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
UOM C Item Description Price Price
Ordered Stripped Remaining Unit Size q Unit Size
Carrier: OUR TRUCK Tracking#:
1.00 1.00 0.00 EA 4000001719 EA 145.0000 145.00
1.0 5-1/4 SAFETY FLANGE REPAIR KIT 1.0000
M-94 US PIPE HYDRANT
Total Lines: I SUB-TOTAL: 145.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 145.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
e:fR
Branch: 03 USC NW INDY INVOICE
36
1238069
j 6310 SOUTH HARDING STREET Invoice Date Page
INDIANAPOLIS,IN 46217
US 12/8/201716:10:43 1 of 1
ORDER NUMBER
317-783-4196 1254525
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:Mr.JOHN MASCARI
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
JOHN-12/7/2017 15:56:23 Net 30 DAYS 1/7/2018 1/7/2018 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
12/7/2017 15:38:59 1264385 ANDY NUGENT ABEGLEY
Quantities Pricing
Item ID UOM Unit Ea7enrled
Ordered Stripped Remaining UOM Item Description Price Price
Unit Size q Unit Site
Carrier: CUSTOMER PICK UP Tracking#:
1.00 1.00 0.00 EA 6303490 EA 16.0000 16.00
1.0 6 3034 SW 90 ELL 1.0000
1.00 1.00 0.00 EA 6X43034BUSH EA 11.5600 11.56
1.0 6 X 4 3034 SW BUSHING 1.0000
10.00 10.00 0.00 FT 63034 FT 2.4100 24.10
1.0 6 3034 SOLVENT WELD SEWER PIPE 1.0000
1.00 1.00 0.00 EA 1056-43 EA 11.2800 11.28
1.0 4 PVC X 3 PVC FLEX COUPLING 1.0000
1.00 1.00 0.00 EA 63034FEMALE EA 27.1900 27.19
1.0 6 3034 SW FEMALE ADAPTER 1.0000
1.00 1.00 0.00 EA 63034TPLUG EA 17.5700 17.57
1.0 6 3034 THREADED PLUG 1.0000
Total Lines: 6 SUB-TOTAL: 107.70
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 107.70
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
PACKING LIST
UTILITY SUPPLY COMPANY Pick Ticket Number
U Branch:03 USC NW INDY 1263151
S 6310 SOUTH HARDING STREET Date Page
C INDIANAPOLIS,IN 46217 11/28/2017 15:33:521 1 of 1
US ORDER NUMBER
1253070
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074 i n -
US US
317-733-2855
Ordered By:JERRY SMITH
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date DiscountAmount
SMITTY Net 30 DAYS
Order Date Pick Ticket No Primary Salesrep Name Taker
11/27/2017 11:39:41 1263151 ANDY NUGENT ZSTIERWALT
Quantities
Item ID DOM
Ordered Shipped Remaining Dish Item Description Unit Size
Carrier: OUR TRUCK Tracking#:
1.00 1.00 0.00 4000001719 EA
5-1/4 SAFETY FLANGE REPAIR KIT 1.0
M-94 US PIPE HYDRANT
Total Lines: 1
Total Pieces: 1
Total Weight: 0 C
PACKING LIST
UTILITY SUPPLY COMPANY Pick Ticket Number
Branch: 03 USC NW INDY 1264385
6310 SOUTH HARDING STREET Date Page
INDIANAPOLIS,IN 46217 12/7/2017 15:56:28 1 of 1
US ORDER NUMBER
1254525
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
317-733-2855
Ordered By:Mr.JOHN MASCARI
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
JOHN Net 30 DAYS
Order Date Pick Ticket No Primary Salesrep Name Taker
12/7/2017 15:38:59 1264385 ANDY NUGENT ABEGLEY
Quantities
Item ID UOM _
Ordered Shipped Remaining Disp. Item Description Unit Size
Carrier: CUSTOMER PICK UP Tracking 9.
1.00 1.00 0.00 6303490 EA
6 3034 SW 90 ELL 1.0
1.00 1.00 0.00 6X43034BUSH EA
6 X 4 3034 SW BUSHING 1.0
10.00 10.00 0:00 63034 FT
6 3034 SOLVENT WELD SEWER PIPE 1.0
1.00 1.00 0.00 1056-43 EA
4 PVC X 3 PVC FLEX COUPLING 1.0
1.00 1.00 0.00 63034FEMALE EA
6 3034 SW FEMALE ADAPTER 1.0
1.00 1.00 0.00 63034TPLUG EA
6 3034 THREADED PLUG 1.0
Total Lines: 6
Total Pieces: 15
Total Weight: 0
ft
Date :
PO
ACCT # :
Use : f,�f