182329 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00352060 Page 1 of 1
0 ONE CIVIC SQUARE EAST SIDE GAS INC CHECK AMOUNT: $71.05
1 CARMEL, INDIANA 46032 P.0 BOX 26061
LAWRENCE IN 46226
<aM CHECK NUMBER: 182329
CHECK DATE: 211 712 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3709 71.05 OTHER EXPENSES
EAST S I D E HOOS'I ER
5010 N POST RD
PO BOX 26061
LAWRENCE, bN 46226
Ph: T 800-834-6169
Truck: FORKLIFT T N V O I E
Drive BR COOK
Invoice: 3709 02/02/10 10:13
Sold To:
CARMEL WASTE WAT
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
Acct 051561
Tank IG030/331
Products
Qty Rtn Price Amount
2 2 34.32 68.64
IG331 334 LIQUID ALU
1.0 2.41 2.41
IG691 ADMIN FEE
Invoice Summary
Subtotal: 71.05
Total: 1105
Due On Or Before: 03/04/10
1 Cr
Customer
;VOUCHER 097242 WARRANT ALLOWED
•352060 IN SUM OF
EAST SIDE GAS CO. INC.
5010 N. Post Road
P.O. Box 26061
Lawrence, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3709 01- 7502 -06 $71.05
Voucher Total $71.05
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
352060
EAST SIDE GAS CO. INC. Purchase Order No.
5010 N. Post Road Terms
P.O. Box 26061 Due Date 2/8/2010
Lawrence, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2010 3709 $71.05
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