181426 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
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ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
t;. CARMEL, INDIANA 46032 6310 S HARDING ST CHECK AMOUNT: $12.30
=•c,�. INDIANAPOLIS IN 46217 CHECK NUMBER: 181426
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 461382 12.30 MATERIALS SUPPLIES
11 Utility Supply Company
11.) 6310 South Harding Street www.utilitysupply.com
Indianapolis, Indiana 46217 DATE NUMBER
(317) 783-4196 Fax: (317) 787-8561 Toll Free: 1-800-662-0829 12/23/09 46 1 382
CAR300 46* INVOICE
0
CARMEL WATER DISTR. y CARMEL WATER D SIR
D 3450 W 131ST ST RE Er
T 3450 W 1 31 ST S I
0 0
W ES Tr: I EE IN 4 6 a74 WESTFIELD, IN 46074
,TAX JURISDICTION NO. hDESCRIRTION ..TAX EXEMPT
3 1 7 33•; 000 1 I HD I ANA 003 120 1'550020
LOC. ..DATE ORDERED DATE SHIPPED SHIP VIA JOB.NO:' GUST. ORDER NO. SALESPERSON CLK TERMS COPY PAGE
032/21/09_.2/21/09IELIVER CREG 1 I (ET 30 DAY 1 1 01
EM i;AggR UN! E
6IYISGAS 6.. 00 6, 00 6'' J. GASKET 2.. 05 :12,3
EA..
p 30 12. ;03
SALES AgOON SALES TAX SHIPPING CHG. CODE DEPOSIT CASH CODE
PLEASE .PAY THIS AMOUNT
A FINANCE-CHARGE-computed.at a periodic rate of l'h% per month (18% ANNUAL
PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
RECEIVED BY
1
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 12/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/2004 461382 $12.30
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5.-11- 10 -1.6
Date Officer
VOUCHER 094016 WARRANT ALLOWED
316200 IN SUM OF$
Utility Supply Company 4,,
6310 South Harding Street i
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF PPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
461382 01- 6200 -06 $12.30
Voucher Total $12.30
Cost distribution ledger classification if
claim paid under vehicle highway fund