189561 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364576 Page 1 of 1
ONE CIVIC SQUARE WACO PRODUCTS INC
CARMEL, INDIANA 46032 1330 KNECHT AVENUE
CHECK AMOUNT: $241.75
ss,�c BALTIMORE MD 21229
CHECK NUMBER: 189561
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 13831 241.75 MATERIALS SUPPLIES
Waco Products Inc.
1330 Knecht Ave INVOICE
Baltimore, MD 21.229 V Invoice: 13831
USA
41 Phone: (410) 242 -1000 Page: 1 of 1
Fax: (410) 247 -4890 Date: 8/18/2010
Order Number: 4086
Bill To: Ship To:
Carmel Utilities Carmel Wastewater Treatment Plant
Wastewater 9609 Hazel Dell Parkway
760 Third Avenue, SW Indianapolis IN 46280
Suite 110 USA
Carmel IN 46032
USA
PO Number: 512240 Terms: Net 30 days F.O.B: Baltimore
Ship Date: 8/18/2010 Ship Via: UPS
UPS tracking# IZ7YA0570197294476
n
,QQuantity Part NumberlDes�ription n r .k j Uit Prtce M Ext,Prlce
1 25LF NS302 9.28000 EA 232.00
J -Bulb
Our Part: Enviromental -Misc 0
Miscellaneous Charges Description Amount
UPS Charges 9.75
Payment Schedule Due Date Amount
9/17/2010 241.75
Total: 241.75
VOUCHER 106108 WARRANT ALLOWED
364576 IN SUM OF
WACO PRODUCTS INC
1330 KNECHT AVENUE
BALTIMORE, MD 21229
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
13831 01- 7202 -06 $241.75
Voucher Total $241.75
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
364576
WACO PRODUCTS INC Purchase Order No.
1330 KNECHT AVENUE Terms
BALTIMORE, MD 21229 Due Date 8/24/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2010 13831 $241.75
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
i X wwl
Date Officer