189569 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $1,549.56
INDIANAPOLIS IN 46219 -7900
CHECK NUMBER: 189569
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 198120 15.00 OTHER EXPENSES
1160 4345002 198205 1,534.56 PROMOTIONAL PRINTING
Mworrellco r
Solutions at Work
Invoice Date X. Invoice No.
Certified as o 08/16/2010 0138205
Women Business Enterprise.
w ww.worre11corp c o m by State of Indiana and the
ra
City of in indionopolis MUSE Programs
Terms
x r
0
I t Days
,n
Sold To Shipped To 0005
CITY OF C ARMEL HUNTINGTON BANK
WATER WASTEWATER UTILITIES 4000 PENDLETON WAY
760 3RD AVE SW INDIANAPOLIS, IN 46226
CARMEL, IN 46032
IlLtllllllllllllrllrllllllllttlltltllll�llllllllltl PRINT MAIL
Sales Customer Job Ship Shipoad
Person Worrell P.O.No.Sv CAM L INO- 076233. Date 08/11/2010 Via WORRELL TRUCK
COC -IN001 26,800 Insert- Keystone Pkwy Construction Update I 56.70 M 1,513.56
J
Freight: 15.00
Sales Tax: 00
1
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 1, 534.56
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Worrell Corporation
IN SUM OF
305 South Post Road
Indianapolis, IN 46219 -7900
$1,534.56
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #rTITLE AMOUNT Board Members
1160 0198205 43- 450.02 $1,534.56 I hereby certify that the attached invoice(s), or
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
Monday, August 30, 2010
Mayor
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))
08/16/10 0198205 $1,534.56
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
worrekorp
Solutions at Work
d
Certified os a i Invoice Date Invoice No.
ri Women Business Enterprise 08/12/2010 0198120
by the State of Indiono and the iv
City of Indianapolis M/WBE Programs
p� E Terms
r.� �(13�. r �lt o:� t O Net 30 Days
Sold To Shipped To
0005
CITY OF CARMEL HUNTINGTON BANK
WATER WASTEWATER UTILITIES 4000 PENDLETON WAY
760 3RD AVE SW INDIANAPOLIS, IN 46226
CARMEL, IN 46032
IIIIrI�IIIIII�����IIIIII�IIIr��IIItIIIIIIII��Itllltl PRINT MAIL
Sales Customer Job Ship Shipped
Person J Worrell P.O. No. No. 630396 Date 08/10/2010 via WORRELL TRUCK
COC -F01 36 Statements BOX .00
y
6
Freight: 15.00
Sales Tax: .00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATES will be applied to all PAST DUE accounts. T OTAL DUE 1
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER 1060.31- WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
198120 01- 7360 -07 $15.00
Voucher Total $15.00
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 8/24/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/24/2010 198120 $15.00
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