193217 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE SUPPLY INC
CARMEL, INDIANA 46032 P.0, 33805 CHECK AMOUNT: $184.49
INDIANAPOLIS IN 46203 CHECK NUMBER: 193217
CHECK DATE: 1212212010
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 522692 184.49 OTHER EXPENSES
SERVICE PIPE SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203
Phone: 317- 639 -9308
Fax: 317 -639 -1335 +umbe 522692
Da to 0
1.2/03/10
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To CITY OF CARMEL Shrp To" CITY OF CARNET
CIT�XCA; 760 3RD AVE SW, SUITE 110 0 5484 E 126TH ST
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CARMEL, IN 46032 ae CARMEL, IN 46033
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Customer PO# Shi ed' r $ales s erson Term x TaxCode .,Doc #.xwh Frei ht
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DAN 12 /03/10 004 B. FENTON 2% 10 DAYS N /30 NOTAX 271382 O1 P OUR
Item Descrrptron' Ordered Shrpped 8ackordrd uM Pnce uM Extensrori
in ELL
999 3" CI AQUAMATIC THD VALVE BODY 1.00 1.00 .00 EA 184.49 EA 184.49
427 -AS 1074446
ATTN: DAN 716 -3919
a 34 zt' !iL
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3
PLEASE DEDUCT 3.69 �NlercharadrseArl�sc t7ascourrt Tax °hFre�ght
IF PAID BY 12/13/10
184.49 .00 .011 .00 .00 1.84.49
NO RETURNS NOV 29 DEC 31ST, THANKS!!
VOUCHER 103628 WARRANT ALLOWED
281250 IN SUM OF
SERVICE PIPE SUPPLY INC WA-rai
P.Q. 33805 QPRT
INDIANAPOLIS, IN 46203
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
522692 01- 6200 -04 $184.49
Voucher Total $184.49
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
281250
SERVICE PIPE SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 12114/2010
1 nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12!14/201( 522092 $184.49
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