333929 12/27/18 `���.A�f. CITY OF CARMEL, INDIANA VENDOR: 00352777
ONE CIVIC SQUARE USA BLUE BOOK CHECK AMOUNT: $*******210.14*
:9� /a� CARMEL, INDIANA 46032 PO Box 9004 CHECK NUMBER: 333929
MdrgN_bo, GURNEE IL 60031-9004 CHECK DATE: 12/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 752186 210.14 OTHER EXPENSES
VOUCHER NO. 187073 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 352777 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
USA BLUE BOOK CITY OF CARMEL
P.O. Box 9004 An invoice or bill to be properly itemized must show: kind of service,where performed,
Gurnee, IL 60031 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
210.14 352777 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR USA BLUE BOOK Terms
Carmel Wasterwater Utility P.O. Box 9004 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice Gurnee, IL 60031
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
752186 01-7200-04 $210.14 and received except 12/13/2018 752186 $210.14
I
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
Tg&Bluebok INVOICE
Get the-Best Treatment- INVOICE NO. PAGE NO.
Remit To: 752186 1 of 1
P.O.Box 9004 CUSTOMER NO. DATE
Gurnee,IL 60031-9004 936803 12/03/18
TEL: (847)689-3000
FAX: (847)689-3001
TOLL FREE: 1-800493-9876
F.E.I.N.: 52-2416852 View online at: http://usabluebook.bilitrust.com
Web Enrollment Token: FPW KRT DFG
BILL TO: 936803 SHIP TO: 1
168 1 SP 0.470 E0168X 10366 04298282640 S2 P5960630 0001:0001
II11II11Jill I1I1Jill 11111111I11I1II1III11I11111 1111 1
CARMEL UTILITIES-WASTEWATER CARMEL UTILITIES
ATTN:ACCOUNTS PAYABLE 9609 HAZEL DELL PKWY
9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935
INDIANAPOLIS IN 46280-2935 USA
Ordered by:001'2 DUANE JARVIS- _ Attention:-0012 DUANE JARVIS--'— _---
CUSTOMER P.O:.NO. SHIP DATE TERMS � TAX,CODE e' SA�ES'oRDER No".�WIH °' .'FREIGHT aSHIP,VIA
S19162 12/03/18 1 www NET 30 INEXEMPT 500012 01 PREPAID UPS
USA STOCK_NO. DESCRIPTION- ORDERED �°"'SHIPPED,.'_H BACKORDER n'U/M` PRICE ,"'" PER' �.��EXTENSIONS =z
56074 ATC Diversified Phase Monitor 2 2 EA 95.95 EA 191.90
SLA-230-ALA 230VAC
"ESTIMATED TAX AMOUNT$0.00
Received by _____ Mm
Date:
cct #: 6 ,�ao 1.0
Use: Ph�� n� I'4O1r
THANK YOU for your business! MERCHANDISE IMISCELLANEOUS DISCOUNT TOTAL
1.5%MONTHLY FINANCE CHARGE
ON AMOUNTS 30 DAYS PAST DUE 191.90 0.00 0.00 0.00 18.24 210.14
Discounts Apply to Merchandise Only
Should it become necessary to refer your'unpaid balance to a collection agency,a collection fee,not to exceed 25%of the - ---—- --
balance referred;plus reasonable attorney's fees;and court costs when necessary,will be added to the balance due.
ore...n.f—h-a om.—QnH ...o...w...,a..i D.... !.e..a:4♦..v.....A..........F
Customer#936803
'ueBOQ PACKING LIST SALES ORDER# 500012
P.O.BOX 9004 WWW,Usabluebook.com PAGE 1 of 1
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GfiLL BEFORE/.=T—.I.a PRODUCTS. TOLL FREE•. 1-800-648-1234 DATE 12/03/18
52
IIIIII �4I4 t`�'� ll�ll II'I I"I INTERNATIONAL DIRECT: (847)689-3000
{ {II{{ 4114 ��fff I EWATER
1 B cA�RMEL. UTILITIES-WAST
S CARMEL UTILITIES
H L ATTN: ACCOUNTS PAYABLE
I CTTM: 0012 DUANE JARVIS L 9609 HAZEL DELL PKWY . 12/03
P INDIANAPOLIS, IN 46280 15:56
9609 HAZEL DELL PKWY T
T INDIANAPOLIS IN 46280-2935 0
0 USA USA
CUSTOMER P.O.# ORDER DATE SLP. TERMS W/H FREIGHT SHIfVIA
ASAP or
519162 12/03/18, 12/06/18 www NET 30• Ol ' PREPAID
ORDERED SHIPPED BACKORDER U/M PAGE LOC.
USA STOCK# DESCRIPTION
56074 . ATC- Diversified Phase Monitor
2 2 EA MAS 1Q-17-4C
SLA-230-ALA,- 230VAC
** ESTIMATED TAX AMOUNT $0 . 00
Thank you for your order. USABlueBook
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