188798 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 102825 Page 1 of 1
ONE CIVIC SQUARE GA INDUSTRIES INC
CARMEL, INDIANA 46032 9025 MARSHALL ROAD CHECK AMOUNT: $501.72
sy'r CRANBERRYTWP PA 16066 -3696
o CHECK NUMBER: 188798
CHECK DATE: 8118/2010
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 103213 6.72 OTHER EXPENSES
601 5023990 W09334 103213 495.00 CONTROLLER CARD
'e
GA INDUSTRIES INC. INVOICE:
cl ta`t. fl' 9025 Marshall Rd.
Cranberry Twp, PA 16066 -3696 Invoice ID: IV103213
Phone 724 776 -1020 Date: 7/28/2010
Fax 724 776 -1254 Order No: 106013
Page No: 1
F. 0. B: SHIPPING POINT
Sold To j Ship'To
CARMEL IN CITY OF CARMEL IN CITY OF
3450 West 131 st Street 3450 West 131 st Street
Westfield, IN 46074 Westfield, IN 46074
USA USA
CUS TOMER 1D C,U STOMER: P_O PAYMENT TERMS FREIGHT TERMS
F C01181357' W09334 Net 30 Freight: Billed
',SALE$REP':ID t, SHIPPING;METHOD SHIP DATE INVOICE DUE DATE
46 UPS GROUND 7/2812010 8
QUANTITY' Part; PART UNIT EXTENDED
ORD -SHP BCK. DESCRIPTION PRICE PRICE
1 1 0 1100L $495.00 $495.00
Circuit Board Rebuilt Main 7600D1 7600E
Shipping Separate Via UPS
T ORDER SPECIFICATIONS
Att: Brian Tolan
SUBTOTAL: $495.00
FREIGHT CHARGES: $6.72
TOTAL AMOUNT DUE: $501.72
IF YOU HAVE QUESTIONS ON HOW THIS INVOICE WAS CALCULATED, OR QUESTIONS ABOUT ANY OF OUR OTHER PRODUCTS,
PLEASE CONTACT OUR SALES OFFICE.
Overnight/Courier- Address:
PLEASE REFENCE THIS INVOICE NUMBER ON YOUR CHECK AND REMIT TO: GA Industries, LLC GA Industries, LLC
Box 223588 ATTN: Lockbox 223588
Pittsburgh, PA 15251 -2588 500 Ross St. 154 -0455
Pittsburgh, PA 15250
MANUFACTURERS OF GOLDEN ANDERSON VALVES SINCE 1895
.I]'1Gn VicuaHOverride%IVMINVFRM.ORP
VOUCHER 102385 WARRANT ALLOWED
10825 IN SUM OF
GA INDUSTRIES INCA
BOX 223588
PITTSBURG, PA 15251 -2588
jc w%
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
103213 01- 6200 -04 $495.00
103213 01- 6200 -04 $6.72
Voucher Total $501.72
_Cost distribution ledger classification if
claim 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
102825
GA INDUSTRIES INC Purchase Order No.
BOX 223588 Terms
PITTSBURG, PA 15251 -2588 Due Date 8/9/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/9/2010 103213 $501.72
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