187282 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352060 Page 1 of 1
ONE CIVIC SQUARE EAST SIDE GAS INC
CARMEL, INDIANA 46032 P.O. Box 26061 CHECK AMOUNT: $35.17
y i,o� to LAWRENCE IN 46226 CHECK NUMBER: 187282
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5875 35.17 OTHER EXPENSES
E L� U v.
JUN 1 4 2010
EAST SIDE HOOSIER
501.0 N POST RD
PO BOX 1 26061
LAWRENCE, IN 46226.1
Ph: 800 834 -6169
INVOICE-
Truck: FORKLIFT #SO1
Driver: BRENT COOK
Invoice: 5875 06/22/10 10:48
Sold To:
CARMEL WASTE WAT
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
Acct 051561
Tank IG030/331
Products
Qty Rtn Price Amount
1 1 32.76 32.76
IG331 33# LIQUID ALU
1.0 2.41 2.41
IG691 ADMIN FEE
Invoice Summary
Subtotal: 35.17
Tota I 1
Due On O o :L
JUN 2 4 2010
Customer
io '75 '2r 0
V@UCHER 1Q5730- WARRANT ALLOWED
352060 IN SUM OF
EAST SIDE GAS CO. INC_
5010 N. Post Road
P.O. Box 26061
Lawrence, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5875 01- 7502 -06 $35.17
Voucher Total $35.17
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts -City Form No. 201 (Rev 199:;)
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
352060
EAST SIDE GAS CO. INC. Purchase Order No.
5010 N. Post Road Terms
P.O. Box 26061 Due Date 6/30/2010
Lawrence, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2010 5875 $35.17
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