181921 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
i.. 1 CARMEL, INDIANA 46032 P 0 BOX 91036 CHECK AMOUNT: $79.24
CHICAGO IL 60693 CHECK NUMBER: 181921
CHECK DATE: 2/3 /2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 8104 79.24 MATERIALS SUPPLIES
A
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity 10 Serve You.
We appreciate your prompt payment.
i
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
1/15/10 1/18/10 SEE BELOW 10" SDR26 HW Our Truck 0008104
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO VERBAL CALVIN
04102614 10X14' SDR26 HW SWR PIPE (G) 14 14 5.66000 FT 79.24
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 79.24
http: llwaterworks .hdsupply.comlTandCl.
Freight Delivery Handling Restock Misc. Tax INVOICE t
t
U TOTAL $79.24
HDSWW INDIANAPOLIS IN W THANK YOU FOR YOUR ORDER
INVOICE 0008104
Branch 430 VISIT z
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
:VOUCHER 097195 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
8104 01- 7200 -02 $79.24
Voucher Total $79.24
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 Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 1/26/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/26/2010 8104 $79.24
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