195241 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $30.00
INDIANAPOLIS IN 45219 -7900
CHECK NUMBER: 195241
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
601 5023990 205781 15.00 OTHER EXPENSES
651 5023990 206343 15.00 OTHER EXPENSES
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Mworrellcorp
Solutions at Work
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Certified as o Invoice No.
Women Business Enterprise q. 02/10/2011 0206343
www•worrellcorp.colrn �"1e °t the
City of Indionopolis NVWGE Programs
Terms
1 1 t r k O -I.. t t r r'i r l I ]f¢ i r
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N Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW 4000 Pendleton Way
CARMEL, IN 46032 Indianapolis, IN 46226
I�I��I�ILJI�����IL��lalllt�til���ll���ll ••�JJ�I mikejcoc
Sales Customer Job Ship Shipped
Person J Worrell P.O. No. No. 634282 Gate 02/04/2011 via WORRELL TRUCK
•i- 11 o-
COG -EDG1 251 Envelope, #10 Double Window, Printed I I BOX .00
WC -EN09 20i Envelope, #9 Window Reply BOX •00
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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 107158 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members,
PO INV ACCT AMOUNT Audit Trail Code
206343 01- 7360 -07 $15.00
Voucher Total $15.00
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 2/22/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/22/2011 206343 $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
Date Officer
Mworrellcor
Solutions t
o o Work
G
Invoice Date invoice No. s
C s as o 0
lll 1/28/2011 0205781
Women Business Enterprise.
■eom by Indion lrn17 Pr the
www.worreilcorp cit of lndlolmpolls nw�eE cr«grems
Terms i
.n
4 ?=Ei. 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
IJrJrILrlLrrr, ILr�rIrlll� rrlL�rllrrJlrrrrlrl�l SCOTT CAMPBELL
Sales Customer Job Ship "Sh
Perse° J Worrell P No. SCOTT CAMPBELL "a. 265624- Die 01/20/201 TRUCK.
COC -F01 91 Statements BOX .00
COC -EDG1 21 Envelope, #10 Double Window, Printed i BOX •00
I tt
1 1
l
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 104223 WARRANT ALLOWED
361174 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
205781 01- 6360 -07 $15.00
Voucher Total $15.00
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 2/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2011 205781 $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
Date Officer