190751 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362459 Page 1 of 1
0 t ONE CIVIC SQUARE FLUID AIR ENGINEERING CHECK AMOUNT: $674.54
CARMEL, INDIANA 46032 5775 WEST 74TH STREET
INDIANAPOLIS IN 46278 CHECK NUMBER: 190751
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12045 674.54 MATERIALS SUPPLIES
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NK �k 5775 W. 74th Street (317) 297 -0951
L Indianapolis, IN 46278 (317) 297 -1680 Fax
INVOICE
INVOICE: 12045 DATE SEPTEMBER 30, 2010
BILL T0: SHIP T0:
CARMEL WASTEWATER UTILITIES CARMEL WASTE WATER TREATMENT PLANT
760 Third Avenue S.W., Suite 110 Tag P.O. 512278
Carmel, IN 46032 9609 Hazel Dell Parkway
Indianapolis, IN 46280
Your Order Our Order Sales Rep. FOB Ship Via Terms Tax ID
S12278 10 -16014 BRIAN SH PT DAYTON FRT NEr3O EXEMPT
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Q a 'Nu#s�ri 1-1 c UnitPriCe�� �E }TotalL��
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12 12 #402993003 RFCMV14 CL2 24X24X6 50.00 600.00
SUB TOTAL 600.00
FREIGHT 74.54
*Indiana Sales Tax now includes freight/delivery charges on purchases that IN SALES TAX EXEMPT
are not tax exempt. If this is a tax exempt purchase, please disregard sales
tax and send a copy of your tax exemption certificate with payment.
BALANCE DUE 674.54
VOUCHER 106332 WARRANT ALLOWED
362459 IN SUM OF
FLUID AIR ENGINEERING
5775 WEST 74TH STREET
INDIANAPOLIS, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
12045 01- 7202 -06 $600.00
12045 01- 7202 -06 $74.54
Voucher Total $674.54
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
362459
FLUID AIR ENGINEERING Purchase Order No.
5775 WEST 74TH STREET Terms
INDIANAPOLIS, IN 46278 Due Date 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/512010 12045 $674.54
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 Poffi c