187311 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
i CHECK AMOUNT: $149.76
CARMEL, INDIANA 46032 P 0 BOX 91036
CHICAGO IL 60693 CHECK NUMBER: 187311
CHECK DATE: 7/7/2010
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1519381 149.76 OTHER EXPENSES
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We appreciate your prompt payment.
�Y6 0 tiered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
6/17110 6/18110 SEE BELOW MARKING PAINT I OUR TRUCK 1519381
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO MARKING PAINT 6/18110
96PAINT17G 17 OZ GREEN MARKING PAINT 48 48 3.12000 EA 149.76
1242
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to
http:I/ waterworks.hdsupply.comrrandC NET 30 149.76
Freight Delivery Handlinq Restock Misc. Tax o
$149.76
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT
1519381
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
..Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
OD0I:DDD1 Page 1 of 1
"�JOUCHER 105736,_ .VJAr RRANT ALLOWED
a
"36201 IN SUM OF
HD SUPPLY WATERWORKS LTD (NA7
P.O. Box 91036
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1519381 01- 7200 -02 $149.76
Voucher Total $149.76
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHES
CITY OF CAHMEL
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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL 1 Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 6/30/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2010 1519381 $149.76
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