183147 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
ONE CIVIC SQUARE KIMBALL MIDWEST
CARMEL, INDIANA 46032 DEPT L -2780 CHECK AMOUNT: $326.59
COLUMBUS OH 43260 -2780 CHECK NUMBER: 183147
CHECK DATE: 3116/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11635 1401689 326.59 GLOVES, WASHERS, NUTS
INVOICE NO. l g INVOICE
PLEASE PAY FROM THIS INVOICE 1401689
T ORIGINAL ORDER NO.
Sprcrali iR� in lllaterinls 11�arragerxe�x: since 793 f�� 0 2 4 5 3 3 2 E
REMIT TO. KIMBALL MIDWEST i
l ACCOUNT NO.
DEPT. L -2780
COLUMBUS, OHIO 43260 -2780 (614 219 -6100) 139903 DAYS OLD,
www.kimballmidwest.com
SOLD TO: SHIP TO:
CITY OF CARMEL SEWER DEPT SEWER DEPARTMENT
760 3RD AVE SW STE 110 730 3RD AVE SW
ATTN LISA
CARMEL IN 46032 CARMEL IN 46032
PAUL
DATE SRLES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED VIA 8 DATE
02/25/10 COHEN, ROBER AUL U UPS GROUND 02/25/10
ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT
DUE
5 5 834615S GLOVES 99.85
5.! 5 8346165`. GLOVES 99 85.;
5 5 834612T GLOVES 73.95
5 0 5 834613T> GT�OVES 00
100 100 373806 WASHER 23.25
10 0 :100
3 WASHER
100 100 373804 WASHER 12.78
343804 :NU' ;8.
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hank..Yo to.r..y r business! Ym Pa ent;ls due 03/2 /19
lease m x1 by .03/2.0/10
o recei e invoices via email send a request inc uding you
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invoice @kimbal -lmidwest carn
You acknowledge and agree that, by placing this order, all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest
Motor Supply Co., Inc. dlbla Kimball Midwest. You further agree that this information is for your internal use only and will not be copied, reproduced, distributed
or disclosed by you andlor your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON ORDERED TAX TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
CUSTOMER.
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BE ACCEPTED. 326. 3 2 6. 5 9
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES,
ALL CHECKS MUST BE MADE PAYABLE ONLY 'A'
TO "KIMBALL MIDWEST' W e Appr eciate Yo ur Bu siness PLEASE REMIT THIS AMOUNT
JOUCHER 105031 WARRANT ALLOWED
f351074 IN SUM OF
Kimball Midwest
DEPT L -2780
COLUMBUS, OH 43260 -2780
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1401689 01- 7200 -02 $326.59
QE[�
Voucher Total $326.59
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
351074
Kimball Midwest Purchase Order No.
DEPT L -2780 Terms
COLUMBUS, OH 43260 -2780 Due Date 3/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2010 1401689 $326.59
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