185692 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 061525 Page 1 of 1
ONE CIVIC SQUARE COLLEY ASSOCIATES, INC
CHECK AMOUNT: $761.00
CARMEL, INDIANA 46032 5522 N RURAL
PO BOX 20604 CHECK NUMBER: 185692
INDIANAPOLIS IN 46220
CHECK DATE: 5126/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09227 10 -084 761.00 REBUILD KIT
C
INVOICE NO.
C o e
10 -084
A ��ocio�e�, nc. y
5522 North Rural P.O. Box 20604 Indianapolis, IN 46220 Indianapolis 317- 254 -1001
Toll Free 800 752 -5959
Telefax 317 -251 -3272
F_ SHIPPED TO:
CITY OF CARMEL SAME
SOLD 3450 West 131st Street
TO Westfield, IN 46074
L J
F.O.B. F.A. COLL. PPD. VIA U.P.S. P.P. P.U. Our Del. TRUCK
A'i CUST. ORDER NO. TAG OR MARK TERMS INVOICE DATE
W 09227 Dan Jenkins Net 30 days 5/4/10
QUANTITY QUANTITY
ITEM PART NO. AND(OR DESCRIPTION SHIPPED LIST EA. MUL7 NET EA. NET LOT
ORDERED BO
1 1 0 Singer Kit 8" 206 --100 1 193. 193.00
2 1 0 Singer Kit 10" 206 -200 1 235. 235.00
3 4 0 Kit 81 RP 110 4 77. 308.00
shipping 25.00
761.00
S/N 410246
A SERVICE CHARGE OF 1% PER MONTH
WILL BE ADDED TO ALL PAST DUE ACCOUNTS.
PARTIAL COMPLETEfA IND. PROC. RESALE F� TAXABLE OUTSTATE MISC.
REGISTER NO. 10 04 0 28 S
We hereby certify that the goods covered by this Invoice were produced in compliance with all applicable requirements of Sections 6, 7 and 12 of the Fair
Labor Standards Act, as amended, and of regulations and orders of the United States Department of-Labor issued under Section 14 thereof
VOUCHER 101696 WARRANT ALLOWED
.1
061525 IN SUM OF
CO, LLEY ASSOCIATES, AP
5522 North Rural c8�
P.O. Box 20604
0
Indianapolis, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
10 -084 01- 6200 -04 $736.0V
10 -084 01- 6200 -04 $25.00
0
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund I
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
061525
COLLEY ASSOCIATES, INC. Purchase Order No.
5522 North Rural Terms
P.O. Box 20604 Due Date 5/20/2010
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/20/2010 10 -084 $761.02
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 Offi