186331 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CARMEL, INDIANA 46032 P 0 BOX 91036 CHECK AMOUNT: $777.84
CHICAGO IL 60693
CHECK NUMBER: 186331
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09256 1338679 777.84 FLAGS
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Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
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Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
5107110 5112110 SEE BELOW MARKING FLAGS UPS 1338679
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO VERBAL JACK SPEAR
HD SUPPLY WATERWORKS PO 4670137
96BLBP458BLUE BLKBRN P458 4X5 BLUE MARKING 6000 6000 .12000 EA 720.00
FLAG W /18" PLASTIC STAFF
WITH SCREENING #4471 WITH
18" PLASTIC STAFF
BELOW FREIGHT CHARGE FOR OUT-
BOUND UPS CHARGE FROM MANUFACT
URE APPROVED BY CUSTOMER
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 30 720.00
http: l/ waterworks.hdsupply.comfFandCl.
Frei ht Deliver Handlin Restock Misc. Tax
57.84 $777.84
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Lyle] 1338679
Branch 430 VISIT
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
000t:000r Page 1 of 1
VOUCHER 101771 WARRANT ALLOWED
350591 IN SUM OF
HU SUPPLY WATERWORKS ��EJY
PO BOX 91036
CHICAGO, IL 60693 -1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
(C 1338679 01- 6200 -06 $777.84
Voucher Total $777.84
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693 -1036 Due Date 6/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 1338679 $777.84
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
t' A//
Date Officer