191888 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $731.66
CARMEL, INDIANA 46032 305 SOUTH POST ROAD
INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 191888
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 201339 15.00 OTHER EXPENSES
601 5023990 201355 15.00 OTHER EXPENSES
601 5023990 201559 701.66 OTHER EXPENSES
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Certified as o ate Invoice No.
P 10/28/2010 0201559
www.worrelicorp by the State of Indiana and the
Gty of Indionopor¢ MMME Programs
Terms
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Net 30 Days
Sold To Shipped To
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CITY OF CARMEL WORRELL CORPORATION
WATER- WASTEWATER UTILITIES 305 S POST RD
760 3RD AVE SW INDIANAPOLIS, IN 46219
CARMEL, IN 46032
I�I��I�Ilrtlltr���ll���l�lllfffll���ll�t�llfff�lrlrl Jim Worrell
Sales Customer Job Ship Shipped
Person J Worrell Po. No. John Duffy 07698$ �oate 10/25/2010 via USPS
COC -1_001 1 Letter, Conversion Letter 195.00 LOT 195.00
INSERT 1 Insert, Address Mail, 775 pieces 217.70 LOT 217.70
POSTAGE 1 Postage 1 st Class 288.96 LOT 288.96
f
Freight; .00
Sales Tax: 00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 70
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER 103245 WARRANT ALLOWED
3 61174 IN SUM OF
3
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
201559 01- 6360 -08 $701.66
Voucher Total $701.66
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 11/3/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2010 201559 $701.66
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordancefw[thh IIeG 5- 11- 10 -1.6
Date Officer
E M worrellcorp
a
Solutions at Work
U Certified DSO Invoice Date Invoice No......,.
Women Business Enterprise. 10/22/2010 0201339
www.worrellcorp.com bijthaianaeo'"a1 "d�l� I
Gty of Ind NWIBE Programs
Terms
Net 30 Days
Sold To Shipped To
0001
CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES WATER WASTEWATER UTILITIES
760 3RD AVE SW 760 3RD AVE SW
CARMEL, IN 46032 CARMEL, IN 46032
I�Ir�ltll��ll����llltl�l�lll���llltlll���ll����l�l�l SCOTT CAMPBELL
Sales Customer lJob Ship Shipped
Person J Worrell PO. N° Na. 631530 Data 10/14/2010 via WORRELL TRUCK
so
COC -ED131 12 Envelope, #10 Double Window, Printed BOX .00
WC -EN09 10 Envelope, #9 Window Reply BOX .00
i
I
I
Freight: 15.00
Sales Tax:
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
M worrellcor p
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Solutions of Work
==G
nvoice Uafe Invoice No.
Certified as a 10/22/2010 0201355
Women Business Enterprise. E
www.Worr by t he
t he 4
City of Indionopo[is MA11BE Programs
Terms
Or
Mon
Net 30 Days
4.
Sold To Shipped To
0005
CITY OF CARMEL HUNTINGTON BANK
WATER- WASTEWATER UTILITIES 4000 PENDLETON WAY
760 3RD AVE SW INDIANAPOLIS, IN 46226
CARMEL, IN 46032
1111111111, 11111111111111111111111111111111111111111 PRINT MAIL
Sales Customer Job Ship Via
Person J Worrell gU.No. I N-. 631586 I t)-t- 10/19/2010 TRUCK
COC -F01 54 Statements BOX .00
Freight: 15.00
Sales Tax: .00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER 103239 WARRANT ALLOWED
3(;1174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
201355 01- 6360 -07 $15.00
30.00
Voucher Total 4 4, 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.
I
Payee
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 11/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2010 201355 $15.00
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
4 fy
Date Officer