190775 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $1,194.20
a` CARMEL, INDIANA 46032 P 0 BOX 91036
CHICAGO IL 60693 CHECK NUMBER: 190775
CHECK DATE: 10/1312010
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 1949186 1,007.00 334I.40
651 5023990 1980159 187.20 MATERIALS SUPPLIES
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
9/15/10 9/24110 WO9399 METER DEPT. OT 1949186
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
3910EC4 EC -4 1 EXPANSION CONNECTION 50 50 20.14000 EA 1,007.00
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to NET 30 1,007.00
http:// waterworks.hdsupply.com/TandC
Freight Delivery Handlinq Restock Misc. Tax
$1,007.00
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT
a 194918fi
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
VOUCHER 102885 WARRANT ALLOWED
350591 IN SUM OF
HD SUPPLY WATERWORKS
PO BOX 91036 0
CHICAGO, IL 60693 -1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
a.334-E: Lj
1949186 02- 2308 -00 $1,007.00
Depreciation
Voucher Total $1,007.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 9995)
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693 -1036 Due Date 10/4/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2010 1949186 $1,007.00
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 icer
Retu Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
9/21/10 9/22/10 VERBAL MIKA MARKING PAINT I OUR TRUCK 1980159
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
96PAINT17G 17 OZ GREEN MARKING PAINT 60 60 3.12000 EA 187.20
1242
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to NET 30 187.20
http:// waterworks.hdsupply.com[TandC
Freight Delivery Handlina Restock Misc. Tax
i $187.20
f
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER 19$0159
Branch 430 VISIT
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
\;TOUCHER 106325 WARRANT ALLOWED
86201 IN SUM OF
HD SUPPLY WATERWORKS LTD (NA7
P.O. Box 91036
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1980159 01- 7200 -02 $187.20
Voucher Total $187.20
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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 10/5/2010
Invoice Invoice Description
Date Number (or note attached= invoice(s) -or- bill(s)) --Amount-
10/5/2010
1980159 $187.20
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 icer