181566 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
j ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CHECK AMOUNT: $224.64
k CARMEL, INDIANA 46032 P 0 BOX 91036
CHICAGO IL 60693 CHECK NUMBER: 181566
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9959610 224.64 MATERIALS SUPPLIES
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
12/30/09 1/08/10 VERBAL PAUL VERBAL PAUL Our Truck 9959610
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
96PAINT17G 17 OZ GREEN MARKING PAINT 72 72 3.12000 EA 224.64
1242
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to NET 30 224.fi4
httpa/ waterworks.hdsupply.com/TandC
Freight Delivery Handling Restock Misc. Tax
ax x INVOICE
TOTAL $224.64
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT INVOICE: 9959610
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
VOUCHER 097123 WARRANT ALLOWED
86201 IN SUM OF
HD SUPPLY WATERWORKS LTD (NAT
P.O. Box 91036
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9959610 01- 7200 -02 $224.64
Voucher Total $224.64
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL 1 Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 1/14/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/14/2010 9959610 $224.64
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 Date Officer