The URL can be used to link to this page

190995 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352777 Page 7 of 7 ONE CIVIC SQUARE USA BLUE BOOK CARMEL, INDIANA 46032 PO BOX 9004 CHECK AMOUNT: $277.85 GURNEE IL 60031 -9004 CHECK NUMBER: 190995 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 239902 277.85 MATERIALS SUPPLIES R M INVOICE 1. M M o TEL: (847) 689-9781 239902 1 of 1 Remit to: FAX: (847) 689 3001 P.O. Box 9004 TOLL FREE: 1- 800 493 -9876 Gurnee, EL 60031 -9004 F.E.LN.:52- 2418852 936803 09/21/10 BILL TO: SHIP TO: 936803 1 CARMEL UTILITIES CARMEL UTILITIES 760 3RD AVE SW STE 110 9609 HAZEL DELL PWKY CARMEL, IN 46032 INDIANAPOLIS IN 46280 USA USA ATTN FAX ORDER PO# S12276 USTOMER PO ENO. SHIP DATE SLIP TERMSTAX CQDE sages C 1, �oa ©eR rvo.. W/H FRE IGHT SHIP Vfk, S12276 FAX 09/21/10 CHH NET 30 INEXEMPT 857637 01 PREPAID UPS USA STOCK.NO: r pESGRIPTION ORDEREDSHiPf?ED4 onr U /M, PRICE' PER EXTENSION 22524 Brass Hydrant Adapter 1 1 0 EA 33.83 EA 33.83 2 -1/2" NST(F) x 3/4" GHT 44343 Brass Fire Hose Adapter 1 1 0 EA 29.75 EA 29.75 1 -1/2 NST(F) x 1 -1/2 NPT(M) 70583 Double Male Hex Nipple 1 1 0 EA 39.27 EA 39.27 1 1/2 "NPT x 2 1 /2 "NST 63462 Female /Male Hex Nipple 1 -1/2" 1 1 0 EA 20.04 EA 20.04 NPT(F) x 1 -1/2" NPSH(M) 63410 Brass Hydrant Adapter 1 -1/2" 1 1 0 EA 42.90 EA 42.90 NST(F) x 3/4" GHT(M) 70597 Swivel Adapter F x F 1 1 0 EA 53.93 EA 53.93 1 1 /2 "NST x 1 1/2 11 NPT 63446 Male x Male Hex Nipple 1 -1/2" 1 1 0 EA 22.69 EA 22.69 NPT(M) x 1 -1/2 NST(M) 44341 1 -1/2" NPT(F) x 1 -1/2" NST(M) 1 1 0 EA 20.43 EA 20.43 Adapter for Fire Hose HC Hard Copy 1 1 0 EA .00 EA .00 THANK YOU for your business! C 1.5% MONTHLY FINANCE CHARGE ON AMOUNTS 30 DAYS PAST DUE 262-84 00 .00 .00 15 .01 277.85 Discounts Apply to Merchandise Only Should it become necessary to refer your unpaid balance to a collection agency, a collection fee,'. not to exceed 25% of the balance referred; plus reasonable attorney's fees; and court costs when necessary, will be added to the balance due. VOUCHER 106314 WARRANT ALLOWED 352777 IN SUM OF USA BLUE BOOK P.O. Box 9004 Gurnee, IL 60031 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 239902 01- 7202 -06 $262.84 239902 01- 7202 -06 $15.01 Voucher Total $277.85 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 352777 USA BLUE BOOK Purchase Order No. P.O. Box 9004 Terms Gurnee, 1L 60031 Due Date 10/512010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/5/2010 239902 $277.85 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 Yicer