187939 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
0 ONE CIVIC SQUARE LIVING WATERS CO. CHECK AMOUNT: $377.63
1 CARMEL, INDIANA 46032 PO Box 402
'wo+ MONROVIA IN 46157
CHECK NUMBER: 187939
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0073616 10.43 OTHER EXPENSES
601 5023990 W09286 0073616 367.20 GAS DETECTOR
Page: 1
Invoice
Living Waters Company, Inc. Invoice Number: 0073616 -IN
P, O. Box 402 Invoice Date: 6/29/2010
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0005856
Order Date 6/2812010
Salesperson: HOUS
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY (e) CARMEL WATER UTILITY (e)
3450 WEST 131ST STREET 3450 WEST 131ST STREET
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
W09286 UPS Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
V TU29329 EACH 1.00 1.00 0.00 367.20 367.20
CL2 SENSOR ONLY W2T11717 Whse: 000
A finance charge of 1.5% (18% APR) Net Invoice: 367.20
Less Discount: 0.00
Will be charged on all past due accounts. Freight: 10.43
Thank you for your business. Sales Tax: 0.00
Invoice Total: 377.63
VOUCHER 102142 WARRANT ALLOWED
r.
184825 IN SUM OF
LIVING WATERS CO.
P.O. Box 402
MONROVIA, IN 46157 O A 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0073616 01- 6200 -04 $367.20
0073616 01- 6200 -04 $10.43
i
Voucher Total $377.63
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
184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 7/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2010 0073616 $377.63
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audiited same in accordance with IC 11- 10 -1.6
7/16 k s
Date Officer