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184522 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1 s ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CARMEL, INDIANA 46032 6310 S HARDING ST CHECK AMOUNT: $3,492.50 INDIANAPOLIS IN 46217 CHECK NUMBER: 184522 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1003268 132.50 MATERIALS SUPPLIES 604 5023990 W09184 1004002 3,360.00 HYDRANTS INVOICE UTILITY SUPPLY COMPANY Branch: 03 USC NW INDY INVOICE 6310 SOUTH HARDING STREET 1004002 INDIANAPOLIS, IN 46217 Invoice Date Page US 4/2/201013:18:39 1 of ORDER NUMBER 317 783 -4196 1004813 Bill To: Ship To: CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION 3450 WEST 131ST STREET 3450 WEST 131 ST STREET WESTFIELD, IN 46074 WESTFIELD, IN 46074 US US Attn: K LOVEALL Ordered By: Mr. GREG HOLLANDER Customer ID: 100753 PO Number Term Description Net Due Date Disc Due Date Discount Amount W09184 Net 30 DAYS 5/2/2010 5/2/2010 0.00 Order Date Pick Ticket No Primary Salesrep Name Taker 3/31/2010 09:03:13 1004348 DOUG KARST RROPES Quantities Pricing Item ID U0Af Unit &fended Ordered Shipped Remaining UOM a Item Description Unit Size Price Price Unir Size q Carrier: OU R TR Tracking 1.00 1.00 0.00 EA A42356YSTORZ EA 1,680.0000 1,680.00 1.0 423 525534 1.0000 5 F BURY 6 M SHOE LESS ACC OL YELLOW WI 5 STORZ 1.00 1.00 0.00 EA A42356CC EA 1,680.0000 1,680.00 1.0 423 528856 1.0000 5 FT BURY 6 MJ SHOE LESS ACC CARMEL CLAY IN SPEC WITH 5 S "fORZ Total Lines: 2 SUB- TOTAL: 3,360.00 TAX: 0.00 A FINANCE CHARGE computed at a periodic rate of 1 112 per month (18% AMOUNT DUE: 3,360.00 ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS. ORIGINAL VOUCHER 101247 WARRANT ALLOWED 316200 IN SUM OF Utility Supply Company 1P 6310 South Harding Street 1 N z Indianapolis, IN 46217 0'aMfakf? Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code b9 4,40 1004002 02- 2308 -00 $3,360.00 I Depreciation Voucher Total $3 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts Citj Form No. 241 (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 316200 Utility Supply Company Purchase Order No. 6310 South Harding Street Terms Indianapolis, IN 46217 Due Date 4/7/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/7/2010 1004002 $3,360.00 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 INVOICE UTILITY SUPPLY COMPANY Branch: 03 USC NW INDY INVOICE 1003268 6310 SOUTH HARDING STREET Invoice Date Page INDIANAPOLIS, IN 46217 US 3/24/2010 16:45:32 1 of ORDER NUMBER 317- 783 -4196 1004161 Bill To: Ship To: CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION 3450 WEST 131 ST STREET 3450 WEST 131 ST STREET WESTFIELD, IN 46074 WESTFIELD, IN 46074 US US Attu: K LOVEALL Ordered By: Mr. GREG HOLLANDER Customer ID: 100753 PO Number Term Description Net Due Date Disc Due Date T Discount Amount GREG 3/23/2010 15:32:45 Net 30 DAYS 4/23/2010 4/23/2010 0.00 Order Date Pick Ticket No Primary Salesrep Name Taker 3123/2010 14:27 :00 1003695 DOUG KARST JBASSETT Quantities Pricing Item ID UOM Unit Extended Ordered Shipped Remaining UOM Item Description Price Price Unit Size O I Unit Size Carrier: C PI U P Tracking 8.00 8.00 0.00 EA H15403 -330 EA 13.5000 108.00 1.0 1 MUELLER CTS COMP 1.0000 COUPLING 2.00 2.00 0.00 EA H15403 -250 EA 12.2500 24.50 1.0 3/4 MUELLER CTS COMP 1.0000 COUPLING Total Lines: 2 SUB- TOTAL: 132.50 TAX: 0.00 A FINANCE CHARGE computed at a periodic rate of 1 112 per month (18% AMOUNT DUE: 132.50 ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS. ORIGINAL VOUCHER 101262 WARRANT ALLOWED 316200 IN SUM OF Utility Supply Company 6310 South Harding Street Indianapolis, IN 46217 i Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 1003268 01- 6200 -06 $132.50 f r Voucher Total $132.50 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 316200 Utility Supply Company Purchase Order No. 6310 South Harding Street Terms Indianapolis, IN 46217 Due Date 4/1/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/1/2010 1003268 $132.50 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