188704 08/18/2010 �A. CITY OF CARMEL, INDIANA VENDOR: 358688 Page 1 of 1
ONE CIVIC SQUARE AGRO CHEM CHECK AMOUNT: $3,164.50
If s
CARMEL, INDIANA 46032 2045 S WABASH STREET
�a WABASH IN 46992 CHECK NUMBER: 188704
CHECK DATE: 8/18/2010
DEPARTMENT ACCOU PO N UMBER IN NUMBER AMOUNT DESCRIPTION
1192 4467099 IN00468478 3,025.00 OTHER EQUIPMENT
2201 4237000 IN00468924 107.68 REPAIR PARTS
2201 4237000 IN00469455 31.82 REPAIR PARTS
AGRO CHEM[, INC Invoice Date Invoice
AGRt? M 2045 S WABASH STREET
7/30/2010 IN00468924
0 WABASH, IN 46992
Phone: 800 -686 -5680
Fax: 888 -281 -4321
Www.agrochem.com
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
3400 WEST 131 STREET 3400 WEST 131 STREET
WESTFIELD,IN 46074 WESTFIELD,IN 46074
STATEIVIEINTS SENT' BI- MONTHLY -PLEASE PAY fRONI 1�NVOICE —1
P.O. Number Rep Ship Via Terms Due Date
5 7/30/2010 UPS NET 30 DAYS 8/29/2010
Ordered Shipped B/O Item Code Description Price Each Amount
1 1 0 12772 IMPELLER 26.26 26.26
1 1 0 12702 VOLUTE BANJO PUMP 40.36 40.36
2 2 0 RS601VSS VITON SEAL FOR AQUA MAS. 16.80 33.60
1 1 0 SHIPPING 7.46 7.46
Tota $107.68
AGRO CHEM, INC. I nvoice Date Invoice
AGRAGH M 2045 S WABASH STREET 8/10/2010 1N00469455
�1 WABASH, IN 46992
Phone: 800 -686 -5680
Fax: 888 281 -4321
www.agrochem.com
Bill To Ship To
CARME:L STREET DEPT
3400WEST 131ST STREET
WESTFIELD CN 46074
STATEMENTS SENT BI- MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms Due Date
2 8/10/2010 NET 30 DAYS 9/9/2010
Ordered Shipped B/O Item Code Description Price Each Amount
I 1 0 12710 O -RING FOR SEAL ASSEMBLY 1.45 1.45
l 1 0 RS601VSS VITON SEAL FOR AQUA MAS. 14.40 14.40
1 0 12774VA IMPELLER BOLT GASKET 0.63 0.63
1 1 0 12754 O RING SEGMENT BANJO PUMP 2.30 2.30
1 0 12719A BODY O -RING 5.93 5.93
UPS SHIPPING 7.11 7.11
Total $31.82
VOUCHER NO. WARRANT NO.
ALLOWED 20
Agro Chem Inc
IN SUM OF
2045 S. Wabash Street
Wabash, IN 46992
$139.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 IN00468924 42- 370.00 $107.68 1 hereby certify that the attached invoice(s), or
2201 IN00469455 42- 370.00 $31.82
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Th� ayV#'dust 12, 2010
Street Commi4i b er
a .a n
a vVl l II I II VI
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/30/10 I N 00468924 $107.68
08/10/10 IN00469455 $31.82
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
20
Clerk- Treasurer
Y
L
1 AGRO CHEM, INC. Invoice Date Invoice
AGRa` Iw 2045 S WABASH STREET 7/21/2010 IN00468478
WABASH, IN 46992
Phone: 800- 686 -5680
Fax: 888 -281 -4321
www.agrochem.com
Bill To Ship To
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
ONE CIVIC SQUARE 3400 WEST 131 STREET
CARMEL. IN 46032 WESTFIELD,IN 46074
STATEMENTS SENT BL- MONTHLY PLEASE PAY FROM INVOICE
P.O. Number Rep Ship Via Terms Due Date
DARREN 5 7/21/2010 OUR TRUCK NET 30 DAYS 8/20/2010
Ordered Shipped B/O Item Code Description Price Each Amount
I l 0 14037 500 GAL HI- DENSITY LEG TANK 2,925.00 2_,925.00
1 1 0 999 525 SKID 0.00 0.00
1 0 200PH5 2'X T PUMP /5 HP ENGINE HONDA 0.00 0.00
60 60 0 V30101 I BRAIDED SIGHT GAUGE HOSE 0.00 0.00
2 2 0 WV200FP 2 VALVE 0.00 0.00
2 2 0 RB200100 2'X I' POLY PIPE REDUCER BUSHING 0.00 0.00
2 2 0 WV100FP 1 VALVE 0.00 0.00
4 4 0 NIP200SH T SHORT POLY NIPPLE 0.00 0.00
1 1 0 NIP1006 1' X 6' POLY PIPE NIPPLE 0.00 0.00
1 1 0 I OOCAP 1' CAP 0.00 0.00
4 4 0 NIP200SI-I 2' SI -IORT POLY NIPPLE 0.00 0.00
1 1 0 H13 10090 1' MALE THREAD X 1' HOSE SHANK 90 0.00 0.00
DE"GRE"E
1 1 0 NIP100SH 1' x SHORT POLY PIPE NIPPLE 0.00 0.00
1 1 0 HB20090 THOSE BARB W /90 DEGREE ANGLE 0.00 0.00
I 1 0 HB200 2' MPT X THOSE BARB 0.00 0.00
2 2 0 TEE200 T POLY TEE 0.00 0.00
i 1 0 20OF MALE ADAPTER T MALE THREAD 0.00 0.00
1 1 0 BSTF125 T PED PUMP 0.00 0.00
I 1 0 DELIVER 100.00 100.00
Total $3,025.00
PrescribeAy State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
U L II ff FI'h a IN SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
-S
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
U 75/ `3 3v: bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
2016
Sign re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund