182623 02/18/2010 *f CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
s CHECK AMOUNT: $538.92
CARMEL, INDIANA 46032 P 0 BOX 91036
CHICAGO IL 60693 CHECK NUMBER: 182623
CHECK DATE: 2118/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0004685 239.40 OTHER EXPENSES
601 5023990 W09114 0042328 299.52 PAINT
Keturn top vortion Wittt Payment i-or raster Crean 1 11d ►Rl ►UU rU► r►IC VJJJJU►LU1711y /V JC►YC IUU.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
1114110 1129110 SEE BELOW METER GASKETS Our Truck 0004685
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO#- VERBAL JECK SPEAR
39GT196 GT196 FLAT GASKET 95 95 .54000 EA 51.30
518X314 314 (EC -23)
BID SEQ# 200
39GT211 GT211 GASKET 95 95 .64000 EA 60.80
BID SEQ# 210
39GT33 GT33 314 BEVELED GASKET 95 95 .58000 EA 55.10
FOR EC -23 EXPANSION WHEEL
BID SEQ# 240
3907GT34 GT34 1 BEVELED GASKET 95 95 .76000 EA 72.20
BID SEQ# 250
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 30 239,40
httpal waterworks.hdsupply.comrrandCl.
Frei ht Delivery Handlina Restock Misc. Tax
$239.40
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT JIJM2 0004685
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0002 Page 1 of 1
Return I op voruon vvnn vayment ror raster Lreat 1101—
We appreciate your prompt payment.
DatA Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
1126110 1129110 SEE BELOW METER DEPT OUR TRUCK 0042328
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO VERBAL JACK SPEAR
96PAINT17B 17 OZ BLUE MARKING PAINT 96 96 3.12000 EA 299.52
1241
W
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 30 299.52
http:Il waterworks.hdsupply.com/TandC
Frei ht Delivery Handling Restock Misc. Tax IIIIIIIIIIIIIIIINLave
$299.52
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER 0042328
Branch 430 VISIT
1680 Expo Zane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0002:0002 Page 1 of 1
VOUCHER 094281 WARRANT ALLOWED
356591 IN SUM OF
HD "SUPPLY WATERWORKS 0;
PO BOX 91036�
CHICAGO, IL 60693 -1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0042328 01- 6200 -06 $299.52
Voucher Total 1 I
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693 -1036 Due Date 2/9/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2010 0042328 $299.52
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
"I A-1 1 141
Date Officer