195697 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
CARMEL, INDIANA 46032 6310 S HARDING ST CHECK AMOUNT: $65.65
INDIANAPOLIS IN 46217 CHECK NUMBER: 195697
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1029041 65.65 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
V.
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1029041
INDIANAPOLIS, IN 46217 Invoice Date Page
US
2/24/2011 14:31:33 1 of I
ORDER NUMBER
317 -783 -4196 1031039
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 13 I ST STREET
CARMEL, IN 46074 CARMEL, IN 46074
US US
Attn: K LOVEALL Ordered By: GREG HOLLANDER
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
GREG- 2/23/2011 11:57:38 Net 30 DAYS 3/26/2011 3/26/2011 0.00
Order Date Pick Ticker No Primary Salesrep Name Taker
2/23/2011 11:56:30 1031505 ANDY NUGENT %STIERWALT
Quantities Pricing
Item ID UOM Unit F_wended
Ordered Shipped Remaining UOM a Item Description Price Price
Unit.Size O Unit Size
C arr ie r: OUR TR Tracking
5.00 5.00 0.00 EA 198357 EA 13.1291 65.65
1.0 AN BONNET GSK "f FOR 4 -1/2 1.0000
5 -1/4 CENTURION FOR SC 200 AND
CENTURION HYDRANTS ONLY
Total Lines: 1 SUB- TOTAL: 65.65
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUCE: 65.65
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER 104303 WARRANT ALLOWED
316200 IN SUM OF
Utility Supply Company WA
6310 South Harding Street 0 '1RAn6%
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1029041 01- 6200 -06 $65.65
I
Voucher Total $65.65
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 3/8/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2011 1029041 $65.65
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