187474 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352777 Page 1 of 1
ONE CIVIC SQUARE USA BLUE BOOK
CARMEL, INDIANA 46032 PO Box 9004 CHECK AMOUNT: $383.63
GURNEE IL 60031 -9004
CHECK NUMBER: 187474
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC RIPTION
601 5023990 W09291 177960 383.63 FLANGE
5�
C
USA' vlego INVOICE o e
t v ,Y TEL: (847) 689 -9781 177960 1 of 1
Remit to: V FAX: (847) 689 -3001
P. BOX 9004 TOLL FREE: 1- 800 493 -9876 e
F.E.LN.:52- 2418852
Gurnee, IL 60031 -9004 163145 06/23/10
BILL TO: SHIP TO:
163145 5
CARMEL UTILITIES CARMEL UTILITIES
PLANT 5
3450 W 131ST ST� 5484 E 126TH ST
WESTFIELD, IN 46074 r CARMEL, IN 46033
USA USA
ATTN 0003 DAN JENKINS yyvv
SALE
CUSTOMER P.O. NO. SHIP:DATE SLP TERMS ORDER TAX CODE DER NO, W/H I FREIGHT'- SHIP VIA
VERBAL DAN 06/23/10 TLL NET 30 INEXEMPT 811569 01 PREPAID UPS
USA STOCK NO. DESCRIPTION ORDERED :SHiPP €D BACK U/M PRICE PER EXTENSION
ORDER
12648 Metrasphere 10" 1 1 0 EA 358.00 EA 358.00
Style R -1504 flg- Drilled -NN
THANK YOU for your business! e e o e e
1.5% MONTHLY FINANCE CHARGE
ON AMOUNTS 30 DAYS PAST DUE 358.00 00 .00 00 25.63 383.63
Discounts Apply to Merchandise Only
Should it become necessary to refer your unpaid balance to a collection agency, a collection fee, not to exceed 25% of the
balance referred; plus reasonable attorney's fees; and court costs when necessary, will be added to the balance due.
VOUCHER 102057 WARRANT ALLOWED
352777 IN SUM OF
USA BLUE BOOK 4
PO BOX 9006
GURNEE, IL 60031 -9006 R NA
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
a 1 177960 01- 6200 -02 $353.63
Voucher Total $383.63
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
352777
USA BLUE BOOK Purchase Order No.
PO BOX 9006 Terms
GURNEE, IL 60031 -9006 Due Date 6/28/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/28/2010 177960 $383.63
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