191661 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CARMEL, INDIANA 46032 P 0 BOX 91036 CHECK AMOUNT: $1,820.00
CHICAGO IL 60693 CHECK NUMBER: 191661
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPT
651 5023990 2099770 1,820.00 MATERIALS SUPPLIES
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 I Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
10/13/10 10/14/10 SEE BELOW J 2" PVC AIR VLVE I UPS 2099770
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO VERBAL PAUL ARONE
HD SUPPLY WATERWORKS PO 4876292
802DO25TNYLON ARI 2" D025T NYLON REINFORCED 2 2 910.00000 EA 1,820.00
BODY- THREADED
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:ll waterworks.hdsupply.com[TandC NET 30 1,820.00
Frei ht Delivery Handling Restock Misc. Tax
$1,820.00
HDSWW INDIANAPOLIS IN -E THANK YOU FOR YOUR ORDER
Branch 509 VISIT 2099770
7281 East 30th St WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46219 FOR OTHER SERVICES OFFERED Pa e 1 of 1
0001:0001 9
VOUCHER 106505 WARRANT ALLOWED
86201 IN SUM OF
HD SUPPLY WATERWORKS LTD (NA
P.O. Box 91036
CHICAGO, IL 60693 GO Na
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2099770 01- 7200 -02 $1,820.00
f
Voucher Total $1,820.00
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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL 1 Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 11/3/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2010 2099770 $1,820.00
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