185466 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
)o CARMEL, INDIANA 46032 6310 S HARDING ST CHECK AMOUNT: $185.80
INDIANAPOLIS IN 46217
CHECK NUMBER: 185466
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1005538 185.80 OTHER EXPENSES
INV ®ICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1005538
INDIANAPOLIS, IN 46217 Invoice Date Page
tC 1
US 4/22/2010 16:30:13 1 of
ORDER NUMBER
317- 783 -4196 1006657
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 S STREET
WESTFIELD, IN 46074 WESTFIELD, IN 46074
US US
Attm K LOVEALL Ordered By: Mr. GREG HOLLANDER
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
GREG H. Net 30 DAYS 5/22/2010 5/22/2010 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
4/21/2010 11:35:05 1006286 ANDY NUGENT RROPES
Quantities Pricing
Item ID UOM
unit Frlended
Ordered Shipped Rertmining UOM Item Description Price Price
Unit Size q Unit Size
Carrier: OUR TRUCK Tracking
5.00 5.00 0.00 EA GALLONA51 EA 37.1600 185.80
1.0 A -51 GALLON CAN 1.0000
MUELLER HYDRANT OIL
Total Lines: I SUB- TOTAL: 185.80
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUE: 1 85.80
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER 101506 WARRANT ALLOWED
316200 IN SUM OF
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217 .0t C-
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1005538 01- 6200 -06 $185.80
L
.1
1
I
Voucher Total $185.80
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 4/2812010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28/2010 1005538 $185.80
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