185756 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
�o CARMEL, INDIANA 46032 CHECK AMOUNT: $58.35
P O BOX 91036
CHICAGO IL 60693 CHECK NUMBER: 185756
CHECK DATE: 5/2612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1237317 58.35 MATERIALS SUPPLIES
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We appreciate your prompt payment.
Dat +Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
4/15/10 5105110 JEFF COOPER BRONZE SEAT RG OUR TRUCK 1237317
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
61MU145067 145067 #24 2 -1/8" SEAT RING 1 1 51.00000 EA 51.00
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to NET 30 51.00
http:!l waterworks.hdsupply.comfTandC
Freight Delivery Handling Restock Misc. Tax !a
7.35 $58.35
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT 1237317
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
VQUCHER 10,5426, WARRANT ALLOWED
86201 IN SUM OF
HD SUPPLY WATERWORKS LTD (NA
P.O. Box 01036
CHICAGO, !L 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1237317 01- 7202 -06 $58.35
Voucher Total $58.35
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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL 1 Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 5/13/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/13/2010 1237317 $58.35
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