190849 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
ONE CIVIC SQUARE LIVING WATERS CO.
CHECK AMOUNT: $3,725.40
CARMEL, INDIANA 46032 Po eox aoz
MONROVIA IN 46157 CHECK NUMBER: 190849
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0074077 3,725.40 OTHER EXPENSES
A Page: 1
Invoice
Living Waters Company, Inc. Invoice Number: 0074077 -IN
P. O. Box 402 Invoice Date: 9/28/2010
Monrovia, IN 46157 L
(317) 996 -2508
Order Number: 0006259
Order Date 9/28/2010
Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY (e) CARMEL WATER UTILITY (e)
3450 WEST 131ST STREET 3450 WEST 131ST STREET
Carmel, IN 46074 Carmel, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
W09410 UPS Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
WTAAA4316 EACH 1.00 1.00 0.00 669.00 669.04
1 INJECTOR W3T99146 Whse: 000
WT210S EACH 1.00 1.00 0.00 2,425.00 2,425.00
AUTO SWITCH REGULATOR 200 11DAY Whse: 000
WTAAB2507 EACH 1.00 1.00 0.00 427.00 427.00
TON CONTAINER KIT W3T99454 Whse: 000
MK- AAA4316 EACH 1.00 1.00 0.00 52.44 52.44
MAINTENANCE KIT FOR AAA4316 1 Whse: 000
MK- 2101510 EACH 1.00 1.00 0.00 113.80 113.80
MAINTENANCE KIT FOR 2101510 RE Whse: 000
A finance charge of 1.5% (18% APR) Net Invoice: 3,687.24
Less Discount: 0.00
will be charged on all past due accounts. Freight: 38.16
Thank you for your business. Sales Tax: 0.00
Invoice Total: 3,725.40
VOUCHER 102960 WARRANT ALLOWED
184825 X iF4 IN SUM OF
LIVING WATERS CO.
P.O. Box 402
MONROVIA, IN 46157
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0074077 01- 6200 -04 $3,687.24
0074077 01- 6200 -04 $38.16
Voucher Total $3,725.40
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form Flo. 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
184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 10/6/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2010 0074077 $3,725.40
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 cei