186320 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
ONE CIVIC SQUARE GEORGE E BOOTH CO INC CHECK AMOUNT: $639.74
CARMEL, INDIANA 46032 8202 W 10TH STREET
INDIANAPOLIS IN 46214 CHECK NUMBER: 186320
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09226 00164937 454.31 REBUILD KIT
601 5023990 W09226 00166240 185.43 REBUILD KIT
i
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00166240
George E Booth CO., Inc. ENTERING OFFICE INVOICE DATE
L_..� George E. Booth Co., Inc.
George E. Booth Co., Inc. 8202 West 10th Street 05/26/10
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 111
Indianapolis IN 46214
USA
Cust NO. Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Lac
C1191 04/29/10 05/26/10 RON Hen
STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No Mark Number
W09226
Tracking numbers: 124418480342999323
QUANTITY
LINE ITEM UOM" UNIT PRICE EXTENDED:
NO
TOTAL, 0 :'BACK, _.,T,HIS..' DESCRIPTION' DISCOUNT` AMOUNT
ORDERED RDERED' HIPMENT..
0010 1.00 0.00 1.00 304454 EA 169.2000 169.20
REPAIR KIT, ASCO
ASCO REPAIR KIT
Phone: 317- 247 -0100 AMOUNT 169.20
SO 00071050 FRGHT /INS /HNDL 16.23
PL 00073651 SALES TAX 0.00
AMOUNT DUE 185,43
13 CITY OF CARMEL WATER DEPT S CITY OF CARMEL WATER DEPT
I ATTN: KERRI LOVEALL H ATTN: DANIEL R. JENKLINS PO# W09226
C WATER WASTEWATER UTILITIES P' WATER- WATEWATER UTILITIES
3450 -W. 131ST STREET 3450 W. 131ST STREET
T WESTFIELD IN 46074 T WESTFIELD IN 46074
O 0
Li
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00164937
11
III George E. Booth Co., Inc. ENTERING OFFICE INVOICE DATE
George E. Booth Co., Inc.
George E. Booth Co., Inc. 8202 West 10th Street 04/29/10
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1!1
Indianapolis IN 46214
USA
Cust N0, Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1191 04/29/10 04/29/10 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
E Customer PO No. Mark Number
W09226
Tracking numbers. IZ4418480342895408
SINE QUANTITY; ITEM r 4 UOM UNIT PRICE EXTENDED
TOTAL a `6ACK THIS 7�
NO g, DESCRIPTION c DISCOUNT AMOUNT`
ORDERED ORDFRED;=, z SHIPMENT 'i v,
0010 1.00 0.00 1.00 8210G034,120/60 EA 195.3000 195.30
VALVE,SOLENOID,112 ",2W,NO,BR
VALVE ,SOLENOID,II2 ",NO,2- WAY,BRASS
REPAIR KIT FOR THIS VALVE 302334
0020 1.00 0.00 1.00 302283 EA 241.2000 241.20
KIT, REPAIR,SOLENOID,ASCO
REPAIR KIT,VALVE,ASCO
Phone: 317- 247 -0100 AMOUNT 436.50
SO 00071050 FRGHT /INS /HNDL 17.81
PL 00072726 SALES TAX 0.00
AMOUNT DUE 454
B CITY OF CARMEL WATER DEPT S CITY OF CARMEL WATER DEPT
L ATTN: KERRI LOVEALL H, ATTN: DANIEL R. JENKLINS PO# W09226
WATER WASTEWATER UTILITIES p WATER- WATEWATER UTILITIES
345 W. 131ST _STREET 3450 W. 131ST STREET--
T< WESTFIELD IN 46074 T' WESTFIELD IN 46074
0 0.
Lj
VOUCHER 101787 WARRANT ALLOWED
33520 IN SUM OF
GF-ORGE E. BOOTH COMPANY
8202 W. 10TH STREET
INDIANAPOLIS, IN 46214
Ar
Carmel Water Utility AIN
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
00164937 01- 6200 -04 $454.31
Voucher Total 0 9 ,7q
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 6/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 00164937 $454.31
hereby certify that the attached invoice(s), or bills) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer