191208 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
ONE CIVIC SQUARE GEORGE E BOOTH CO INC
CARMEL, INDIANA 46032 8202w1OTH STREET CHECK AMOUNT: $1,450.50
INDIANAPOLIS IN 46214
CHECK NUMBER: 191208
CHECK DATE: 10/27/2010
DEP ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
601 5023990 00172908 779.09 OTHER EXPENSES
601 5023990 00173296 671.41.OTHER EXPENSES
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
A ENTERING OFFICE B ooth 00173296
George E Booth Co., Inc. INVOICE DATE
George E. Booth Co., Inc. 10118/10
George E. Booth Co., Inc. 8202 West 10th Street
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1!1
Indianapolis IN 46214
USA
Cust NO. Date Ordered Date Shipped Written By Order Type Shlp From Loc Selling Loc
C1191 10/11/10 10/18/10 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No Mark Number
W09415
Tracking numbers: 124418480340649633
LINE QUANTITY ITEM UOM UN6T PRIC EXTENDE
NO OTAL BACK THIS, DESCRIPTION DISCOUNT AMOUNT
ORDEREfJ.
_,ORDER D, SHIPMENT.p
0010 1.00 0.00 1.00 8316G026MO,120/60 EA 412.9600 412.96
VALVE, SOLENOID, 1 /2 ",3W, NO, BR,MAN OP
VALVE, SOLENOID, 1/2 BRASS, 3 -WAY, NO,
MANUAL OPERATOR, 120 VAC
FINISHED GOODS NO. 20617
KIT FOR THIS VALVE 314496 -MO
0020 1.00 0.00 1.00 302283 EA 238.5200 238.52
KIT, REPAIR,SOLENOID,ASCO
REPAIR KIT,VALVE,ASCO
Phone: 317- 247 -0100 AMOUNT 651.48
SO 00076744 FRGHTIINS /HNDL 19.93
PL 00078774 SALES TAX 0.00
AMOUNT DUE, 7,1141'
B, CITY OF CARMEL WATER DEPT. s: CITY OF CARMEL WATER DEPT
i. WATER-WASTEWATER UTILITIES ;H! ATTN: DANIEL JENKINS W09415
3450 W. 131ST STREET P* WATER- WATEWATER UTILITIES
WESTFIELD IN 46074 3450 W. 131 ST STREET
T WESTFIELD IN 46074
o
0
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
�l ENTERING OFFICE 00172908
George E. Booth Co., Inc. INVOICE DATE
George E. Booth Co., Inc.
George E. Booth Co., Inc. 8202 West 10th Street 10/11/10
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust N0. 7ate Ordered Date Shipped Written By Order Type Ship From loc Selling Loc
C1191 0/11/10 10/11/10 PON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No. Mark Number
W09415
Tracking numbers: 1Z4418480341279157
QUANTITY_
.LINE ;ITEM OM SNIT PRICE. EXTENDED
TOTAL A THIS
NO BCK DESCRIPTION,= ,DISCOUNT: AMOUNT
ORDERE15'.. DERED: SHIPMENT
0010 1.00 0.00 1.00 8210G034,120160 EA 195.3000 195.30
VALVE, SOLENOID,1 /2 ",2W,N0, BR
VALVE, SOLENOID,1 /2 NO, 2- WAY, BRAS S
REPAIR KIT FOR THIS VALVE 302334
0020 1.00 0.00 1.00 82106057,120/60 EA 562.3200 562.32
VALVE,SO1-ENOID,1 ",2W,NO,BR
VALVE, SOLENOID, 1 ",NO, 2-WAY, BRASS
REPAIR KIT FOR THIS VALVE 302337
Phone: 317 247 0100 AMOUNT 757.62
SO 00076744 FRGHTIINS /HNDL 21.47
PL 00078505 SALES TAX 0.00
AMOUNT, DUE 779.09;
CITY OF CARMEL WATER DEPT. s CITY OF CARMEL WATER DEPT
WATER WASTEWATER UTILITIES H, ATTN: DANIEL JENKINS W09415
3450 W. 131ST STREET p' WATER- WATEWATER UTILITIES
WESTFIELD IN 46074 3450 W. 131ST STREET
T WESTFIELD IN 46074
0 0
VOUCHER 103122 WARRANT ALLOWED
353520 IN SUM OF
GEORGE E. BOOTH COMPANY. CIE
$102 W. 10TH STREET
INDIANAPOLIS, IN 46214
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
00173296 01- 6200 -04 r1 $651.48
00173296 01- 6200 -04 $19.93
f
cx�� �lb2ec•�� t
Voucher Total $6
Cost distribution ledger classification if T-
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 10/21/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/201( 00173296 $671.41
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11-10 -1.6
Date Officer