191266 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00352211 Page 1 of 1
ONE CIVIC SQUARE KNOX CO
CARMEL, INDIANA 46032 1601 W DEER VALLEY ROAD CHECK AMOUNT: $85.00
PHOENIX AZ 85027
CHECK NUMBER: 191266
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 388300 85.00 MATERIALS SUPPLIES
r%
I nvoice
Number INV00388300
Date .....................:10 /1/2010
The Knox Company Page 1 of 1
1601 W Deer Valley Road Sales order S00001 123852
Phoenix, AZ 85027 l Requisition PO# S12293
Telephone (800) 552 -5669 �1 1 Your ref.
Fax (623) 687 -2290 Our ref. MM002
60 Payment Net 30
Invoice account CUS00160243
Mode of delivery FXG
Invoice address Delivery address
Carmel, City of City of Carmel WWTP
One Civic Square Joe Faucett
Carmel, IN 46032 9609 Hazel Dell Pkwy
us Indianapolis, IN 46280
Disc. pct.iber Description QuantityUnit Unit price Discount Amount
3501 KS -2 POS. SPDT, W /DC, SINGLE LOCK 1.00EA 73.00 73.00
_PS -2 0031 -10 -89
Quantity 1.00 Serial number: PN471762 -1
Installation address: 9609 Hazel Dell Pkwy... Indianapolis IN, 46280
Please pay this invoice to Knox address above. Service charge of 1 1 12% will be charged per month after due date.
Misc. charges
Transaction text value
Shipping Handling 12,00
Sales balance Total discount Misc. charges Sales tax Round -off Total
73,00 0,00 12.00 0.00 0.00 85.00
Payment per 10/31/2010
i
✓OUCHER 106423 WARRANT ALLOWED
00352211. IN SUM OF
THE KNOX COMPANY
1601 W DEEER VALLEY ROAD
PHOENIX, AZ 85027
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
388300 01- 7200-03 $85.00
Voucher Total $85.00
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
00352211
THE KNOX COMPANY Purchase Order No.
1601 W DEEER VALLEY ROAD Terms
PHOENIX, AZ 85027 Due Date 10118/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201( 388300 $85.00
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