191220 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
s 0 ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $131.34
�a CARMEL, INDIANA 46032 P 0 BOX 91036
CHICAGO IL 60693 CHECK NUMBER: 191220
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1980208 131.34 OTHER EXPENSES
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
9/21/10 9/23110 VERBAL MIKA MARKING FLAGS UPS 1980208
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
HD SUPPLY WATERWORKS PO 4847190
96FLAGGSF 4X5 GREEN FLAG MARKED SEWER 1000 1000 .12000 EA 120.00
"SEWER" MUST BE IN WHITE
LETTERING ON 18" WIRE STAFF
to o re
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
http:I/ waterworks.hdsupply.com/TandC NET 30 120.00
Freight Delivery Handlinq Restock Misc. Tax 11.34 NNW $131.34
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT —fill s 1980208
1680 Expo Lane WATERWORKS. HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
VOUCHER 106435 WARRANT ALLOWED
86201 IN SUM OF
HD SUPPLY WATERWORKS LTD (NA
P.O. Box 91036
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1980208 01- 7200 -02 $131.34
Voucher Total $131.34
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev 19959
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL 4.
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 1 Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 10/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/2011 1980208 $131.34
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 Officer