186565 06/09/2010 a CITY OF CARMEL, INDIANA VENDOR: 362301 Page 1 of 1
ONE CIVIC SQUARE WIESE PLANNING ENG INC
CARMEL INDIANA 46032
PO BOX 60106 CHECK AMOUNT: $142.55
ST LOUIS MO 63160 CHECK NUMBER: 186565
CHECK DATE: 619/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 60125510 142.55 TRANSPORTATION EXPENS
INVOICE
Account# Work Ord Br Sls W O R K O R D E R Date Invoice Page
5712634 4173 060 E06 I N V O I C E 05 -26 -10 60125510 1
Sold To: Ship To:
CARMEL WASTEWATER CARMEL WASTEWATER
760 3RD AVENUE SW 760 3RD AVENUE SW
CARMEL IN 46032 CARMEL IN 46032
Ship Via:
Purchase order Date Job Number Job Contact
JOE 05 -25 -10 JOE FAUCETT 317 -716
THANK YOU FOR YOUR BUSINESS
Seg# 001 Mfr:MIT Model:FG25 S /N:AF17B01784 Meter: 1914
Equip ID:8204H
TRAVEL TO CUSTOMER AND LOCATE UNIT. INSPECT FOR
MOTOR SURGES. ADJUST GOVERNOR. TEST FOUND OK.
THANK YOU
SERVICE LABOR 135.00
Total for segment 135.00
Seg# 100 Mfr:MIT Model:FG25 S /N:AF17B01784 Meter: 1914
Equip ID:8204H
ENVIRONMENTAL CHARGE
Total for segment 2.15
HARDWARE CHARGE 5.40
Total parts 0.00 Total labor 135.00 Total misc 7.55
46280 IN SALES TAX 0.00
Sales Tax Nuiaber
REMIT TO: WIESE USA Amount Due
P.O. BOX 60106 Due By: 142.55
ST. LOUIS, MISSOURI 63160 06/05/10
(317) 241 -8600
For all ®f your Material Handling bleeds
A finance charge of 1.5% per month will be added to past due accounts.
Parts returned must be accompanied by original invoice and are subject to a restocking fee. Claims for shortages must be made within ten days.
VOUCHER 105601 WARRANT ALLOWED
T1058 IN SUM OF
WIESE PLANNING ENG
PO BOX 60106
ST LOUS, MO 63160
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
60125510 01- 7502 -06 $142.55
Voucher Total $142.55
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
T1058
WIESE PLANNING ENG Purchase Order No.
PO BOX 60106 Terms
ST LOUS, MO 63160 Due Date 6/3/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3/2010 60125510 $142.55
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
r� (ter- ���t
Date Officer