192058 11/23/2010 ;.F CITY OF CARMEL, INDIANA VENDOR: 364871 Page 1 of 1
ONE CIVIC SQUARE FACO LLC
CARMEL, INDIANA 46032 5124 EAST 65TH STREET CHECK AMOUNT: $124.61
INDIANAPOLIS IN 46220 CHECK NUMBER: 192058
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 13741 124.61 OTHER EXPENSES
5124 East 65th Street I
Indianapolis, IN 46220
www.faco[Ic.com l 1
Phone 317 257 2211 Date 11/9/2Q10
Fax 317- 257 -8150 J Invoice 13741
Bill To Ship To
CARMEL SEWER DEPARTMENT CARMEL SEWER DEPARTMENT
760 3RD AVE. SW, SUITE 110 901 N. RANGELINE ROAD
CARMEL, IN 46032 CARMEL, IN 46032
FOB Ship Via Terms Due Date Purchase Order No. Rep
SHIP POINT UPS NET 30 1219!2010 Verbal Paul BEH
Item Description Ordered Shipped Rate Amount
DS- VALMATIC A2.01 C -11 Orifice Button 5 5 7.50 37.50
DS- VALMATIC P101 -6 Gasket 5 5 6.00 30.00
DS- VALMATIC P38 -12.4 Pivot Pins 6 6 2.00 12.00
DS- VALMATIC P48 -66 Quick Disconnect 4 4 10.00 40.00
Couplings
FREIGHT 5.11 5.11
Faco stocks I distributes the following: Subtotal $124.61
Automatic Flow Control Valves
Balance Valves Inhibited Glycol Sales Tax (7.0 $0.00
Coil Piping Packages Link -Seal
Expansion Joints Pipe Markers
Gauges Pump Packages Total $124.61
Hose Kits Thermometers
VOUCHER 106582 WARRANT ALLOWED
364871 IN SUM OF
FACO LLC
5124 EAST 65TH STRET
INDIANAPOLIS, IN 46220
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
13741 01- 7200 -02 $124.61
Voucher Total $124.61
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
364871
FACO LLC Purchase Order No.
5124 EAST 65TH STRET Terms
INDIANAPOLIS, IN 46220 Due Date 11/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/15/201( 13741 $124.61
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