186566 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 CHECK AMOUNT: $10,292.00
305 SOUTH POST ROAD
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 186566
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
601 5023990 194840 15.00 CONT SERVICES OTHER
651 5023990 194840 15.00 CONT SVS -OTHER
651 5023990 S12014 194935 3,848.25 ENVELOPES
601 5023990 W09264 194935 6,413.75 ENVELOPES
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Invoice Date Invoice No.
Certified as o 05/28/2010 0195198
Women Business Enterprise
www.worre11corP .com by the State of In and the
City of Indianapolis MUSE Programs
Terms
I. t o t t I I o TR I o Net 30 Days
Sold To Shipped To
0005
CITY OF CARMEL HUNTINGTON BANK
WATER WASTEWATER UTILITIES 4000 PENDLETON WAY
760 3RD AVE SW INDIANAPOLIS, IN 46226
CARMEL, IN 46032
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Sales Customer Job Ship Shipped
Person J Worrell Po.No. No. 629197 Date 05/27/2010 Via WORRELL TRUCK
COC -F01 10 Statements BOX .00
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Freight: 15.00
Sales Tax: .00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
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05/26/2010 01;94935
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CITY OF CARMEL WORRELL CORPORATION
WATER WASTEWATER UTILITIES 305 SOUTH POST ROAD
760 3RD AVE SW INDIANAPOLIS, IN 46219
CARMEL, IN 46032
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At our warehouse in INDIANAPOLIS, IN
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A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 10 ,262.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U•S. Funds. Thank you for your continued business.
this receipt perforation and enclose with remittance.
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`in�ol�ce�Numbe�� 0194935
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Inolce Date 05/26/2010
CITY OF CARMEL �a e
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11 Arrrount Dtfe�� 10,262 00
760 3RD AVE SW
CARMEL, IN 46032 t arm
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VOUCHER 101808 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 462.19 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4 D 1 194935 01- 6200 -07 $6,413.75
Voucher Total $6 4
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 6/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
611/2010 194935 $6,413.75
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
umam M
Solutions at Work
invoice bateInvoice No.
Certified as a
Women Business Enterprise. 05/24/2010 0194840
www w orre11corp .cio 1'1! b y the State of Ind sand the
City nr indionnpoiis M/Ii1BE Programs
Terms
n Ne r r I I CYa'IRS7 EIIII i I s Q 1_ 1 I
'°'•V t 30 Days
Sold To Shipped To
0001
CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES 4000 Pendleton Way
760 3RD AVE SW Indianapolis, IN 46226
CARMEL, IN 46032
Illllllllllllllllllllllllllllllllrrlllllllllllllllll SCOTT CAMPBELL
Saies Customer Job Ship Shipped
Person Worrell o: No. No. 629005 �a1e 05/19/2010 Via WORRELL TRUCK
COC -EDG1 5 Envelope, #10 Double Window, Printed BOX OG
WC -EN09 5 Envelope, 49 Window Reply BOX .00
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Freight: 15.00
Saes Tax:
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
m nd enclose with remittance'` N
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EMN
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M worrekor p
Solutions of Work
Invoice Date Invoice No.
I Certified as a
Women Business Enterprise. E 05/26/2010 0194935
n r
by the Stote of tndnno and the 4 4
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e 1 Q Terms
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Net 30 Days
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CITY OF CARMEL WORRELL CORPORATION
WATER WASTEWATER UTILITIES 305 SOUTH POST ROAD
760 3RD AVE SW INDIANAPOLIS, IN 46219
CARMEL, IN 46032
Itlttl�IL�II�����II���Llll���ll��� llittll�tttltltl
Sales Customer Job Ship Shipped
person J Worrell PO. NO. Scott Campbell No. 075392 Date 05/24/2010 Via DAYTON FREIGHT
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COC -EDG1 350,000 Envelope, #10 Double Window, Printed 29.32 M 10,262.00
At our warehouse in INDIANAPOLIS, IN
P
I
Freight: 00
Sales Tax: Q0
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 1 0,262.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
AM invoices are payable in U.S. Funds. Thank you for your continued business.
nand enclose with remittance
k
11 Wo, Ml
I
VOUCHER 105565„ WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
po�2�IKC1=
p 194935 01- 7200 -07 $3,848.25
I °ftl$�iD o x.73 "bo.o� rS.oa
Voucher Total .25
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 6/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 194935 $3,848.25
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