187101 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
3 ONE CIVIC SQUARE WORRELL CORPORATION
305 SOUTH POST ROAD CHECK AMOUNT: $4,876.76
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 187101
CHECK DATE: 6123/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 195570 3,038.60 OTHER EXPENSES
651 5023990 195570 1,823.16 OTHER EXPENSES
651 5023990 195645 15.00 OTHER EXPENSES
o n Mworrell
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Solutions ®t Work
Er iriiuo Invoice Date InvoI a No.
Certified as o 06/09/2010 0195570
Women Business Enterprise.`
www.worrellGOrp.GOm Cit tt;, ,portsA the
Terms
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Sold To Shipped To
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CITY OF CARMEL CITY OF CARMEL
WATER- WASTEWATER UTILITIES WATER WASTEWATER UTILITIES
760 3RD AVE SW 760 3RD AVE SW
CARMEL, IN 46032 CARMEL, IN 46032
I�I�tlrlirrll�r�ttll1111111111111 SCOTT CAMPBELL
Sales Castomer Job Ship Shipped
Person J Worrell PO No. Scott Campbell6- 075674 'ate 05/31/2010 pia U.S. Mail
Held
COC -PROC 1 City of Carmel Utility Mailings 4t3_4.&0 EACH 4j 4.8U
COC -POST 1 City of Carmel Postage for Mailings 1.96 EACH 1.96
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Freight: 125.00
Sales Tax: 00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 4, 861.76
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 ygyjor your continued business.
worrell
Solutions at Work
d Invoice Date Invoice No.
Certified as o 06/11/2010 0195645
Women Business Enterprise
www.worrelicorp.com the St EPm9a
Gty of In ANWBE Progroms i
Terms
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Net 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
Itltlllll��Il��r��l[ tlllllllt�rllrrrlltllllltt�l�ltl SCOTT CAMPBELL
Sales customer Job Ship Shipped
Person J Worrell Po. No, No. 629338 Date 06/09/2010 via WOR.RELLTRUCK
COC -EDG1 I 6 Envelope, 410 Double Window, Printed BOX .00
COC -EDG1 4 Envelope, #10 Double Window, Printed BOX .00
WC -EN09 5 Envelope, #9 Window Reply BOX •00
Freight: 15
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.
VOUCHER 105671 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
s pll 195570 01- 7360 -07 $1,823.16
tigsGyS a�,7���.0� is.o�
3cb•I(,
Voucher Total- 1 -3-�6�
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 6115/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/2010 195570 $1,823.16
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
or
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Invoice Date €nvolce
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0001
CITY OF CARMEL CITY OF CARMEL
WATER- WASTEWATER UTILITIES WATER WASTEWATER UTILITIES
760 3RD AVE SW 760 3RD AVE SW
CARMEL, IN 46032 CARMEL, IN 46032
111, 1 �l IItILtoll llltl ltllll ,tl11111111111111111111 SCOTT CAMPBELL
bates,,., Customer.,
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t 'L�f�„ScottCarnpbell 40756.74 05/3,1I20�1 ?0 I
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oo- GI D- s o
COC -PROC 1 City of Carmel Utility Mailings i 4734.80 EACH 4,734 80
COC -POST 1 City of Carmel Postage for Mailings 1.96 EACH 1.96
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Freight: 1.25.00
I Sales Tax: t s t .UU
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATES will be applied to all PAST DUE accounts. TO TAL DUE 4 861.76
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.
ec g pegprgt€on and enclose wdh remittance.
e Please detach "this r elpt aloii
w orr el
E Solutions of Work
s
printing marketing t orrice` p'roduct's
InV6ib N' umber 0195570
126952 a�Fz e�
CITY OF CARMEL 06/09/2010
WATER- WASTEWATER UTILITIES
Y 760 3RD AVE SW "l��iiiourit Duet 4,861 76
CARMEL, IN 46032
';TOUCHER 101914 WARRANT ALLOWED
s
.361174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
195570 01- 6360 -07 $3,038.60
Voucher Total $3,038.60
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 VOUCHEF
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 6/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/2010 195570 $3,038.60
1 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