184835 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
0 ONE CIVIC SQUARE LIVING WATERS CO. CHECK AMOUNT: $160.59
CARMEL, INDIANA 46032 PO BOX 402
MONROVIA IN 46157
CHECK NUMBER: 184835
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0073280 17.09 OTHER EXPENSES
601 5023990 0073281 143.50 OTHER EXPENSES
Page: 1
Invoice
Living Waters Company, Inc. Invoice Number: 0073280 -IN
P. 0. Box 402 Invoice Date: 4/912010
Monrovia, IN 46157 !L W
(317) 996 -2508
Order Number: 0005539
Order Date 4/8/2010
O Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY (e) CARMEL WATER UTILITY (e)
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
Westfield, IN 46074 PLANT #3
n Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
VERBAL JERRY OUR TRUCK Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
WTP48319 EACH 1.00 1.00 0.00 9.60 9.60
SEAT W2T17894 Whse: 002
WTP50557 EACH 1.00 1.00 0.00 2.72 2.72
GASKET W2T15571 Whse: 002
WTP16191 EACH 1.00 1.00 0.00 1.80 1.80
LEAD GASKET W2T11773 Whse: 002
WTP48330 EACH 1.00 1.00 0.00 2.97 2.97
SPRING W2T16030 Whse: 002
A finance charge of 1.5% (18% APR) Net Invoice: 17.09
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business Sales Tax: 0.00
Invoice Total: 17.09
Page: 1
Invoice
Living Waters Company, Inc. Invoice Number: 0073281 -IN
P. O. Box 402 Invoice Date: 4!912010
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0005538
Order Date 4/8/2010
a Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY (e) CARMEL WATER UTILITY (e)
3450 WEST 131ST STREET 3450 WEST 131ST STREET
Westfield, IN 46074�h PLANT #3
W Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
JER OUR TRUCK Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
ILASOR -G 1.00 1.00 0.00 143.50 143.50
LABOR CHARGE GORDON
SERVICED 200C VAC REGULATOR
A finance charge of 1.5% (18% APR) Net Invoice: 143.50
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business Sales Tax: 0.00
Invoice Total: 143.50
VOUCHER 101384 WARRANT ALLOWED
18.4825 IN SUM OF
LIVING WATERS CO.
P.U. Box 402
MONROVIA, IN 46157
0 R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0073281 01- 6360 -04 $143.50
Voucher Total, .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
184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 4/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2010 0073281 $143.50
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