HomeMy WebLinkAbout195715 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $15.00
INDIANAPOLIS IN 46219 -7900
CHECK NUMBER.: 195715
CHECK DATE: 3116/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 207166 15.00 CONT SVS -OTHER
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Invoice Date Involee No.
Certified o 03/03/2011 0207166
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Terms p
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CITY OF CARMEL HUNTINGTON BANK
WATER WASTEWATER UTILITIES PRINT MAIL
760 3RD AVE SW 4000 PENDLETON WAY
CARMEL, IN 46032 INDIANAPOLIS, IN 46226
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Safes i Custoneer Job Ship Shipped
Person J Worrell P.O. No. No. 634737 Date 03/01/2011 via WORRELL TRUCK
COC -1 18 Statements i 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 107276 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
207166 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
WORRE=LL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 3/8/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/8/2011 207166 $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