183309 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CHECK AMOUNT: $40.84
CARMEL, INDIANA 46032 P o aox 91036
CHICAGO IL 60693 CHECK NUMBER: 183309
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1016559 40.84 MATERIALS SUPPLIES
I�
s
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 Shi ed Via Order Number
2/17110 1 2/24110 VERBAL JACK METER DEPT DIRECT 1016559
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
HD SUPPLY WATERWORKS PO 4569093
39GT32 GT32 5/8 BEVELLED WASHER 75 75 .47000 EA 35.25
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 35.25
hftp:// waterworks.hdsupply.com/TandC
Frei ht Delive Handlinq Restock Misc. Tax NEEMEMEM
5.59 ff $40.84
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT
1016559
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:1)001 Page 1 of 1
prescribed by State board of Accounts
'FormN =01 (Rev- 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
u
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and l have audited same in accordance
with IC 5- 11- 10 -1.6.
Mo. Day Yr. Officer Title
Voucher No. War NQ
r
P
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT ACCT.
CARMEL, INDIANA
Favor Of
/4 D SLtpP1V Wct: -Er W O''r6 0 4
0l box 1636 i
Total Amount of Voucher
Deductions
Q 1
I
Amount of Warrant 4L
Month of Yr
1
Acct.
VOUCHER RECORD No.
Source of Su pply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 7- 800- 382 -8702 325